Organization Active NPI

Community Health Services Lab

  • Clinical Medical Laboratory
  • Cairo, IL
National Provider Identifier
1033178652
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COMMUNITY HEALTH SERVICES LAB
Practice address
13245 Kessler Rd
Cairo, IL 62914-3101
Phone
(618) 734-4400
NPI assigned
Mar 22, 2006
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Frederick Bernstein
Title
C.E.O.
Phone
(618) 457-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

13245 Kessler Rd
Cairo, IL 62914-3101

Mailing address

PO Box 3008
Carbondale, IL 62902-3008
Phone (618) 457-0450

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1033178652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3008",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023008",
            "telephone_number": "618-457-0450",
            "fax_number": "618-457-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 KESSLER RD",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SERVICES LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "618-457-0450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.