Organization · Type 2 NPI

Springfield Clinic LLP

Clinical Medical Laboratory · Decatur, IL

NPI number 1902064900 Active

Practice location

250 W Kenwood Ave
Decatur, IL 62526-4371

Call (217) 428-3424 Map

Mailing address

1025 S 6th St
Springfield, IL 62703-2403

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

28 other providers at this address

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NPI record

NPI: 1902064900
Entity type: Organization (Type 2)
Issued: May 27, 2008
Last updated: Apr 18, 2018
Status: Active
Subpart: Yes of Springfield Clinic LLP

Other names

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Springfield Clinic Decatur Lab · doing business as

Authorized official

Mr. Alan Nerone
Senior Vice President & CFO
(217) 528-7541

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902064900

Springfield Clinic LLP's National Provider Identifier is 1902064900, issued on May 27, 2008. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Decatur, IL. The record was last updated on Apr 18, 2018.