NPIMap

Organization Active NPI

North Hill Laboratory Services LLC

  • Clinical Medical Laboratory
  • Burlington, IA
National Provider Identifier
1144201591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1601011985 Issued in IA
Legal business name
NORTH HILL LABORATORY SERVICES LLC
Practice address
825 N 6TH St
Burlington, IA 52601-4920
Phone
(319) 752-8422
Fax
(319) 752-4860
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Roger Alan Nevling, PA CNPI 1225015027
Title
Owner
Phone
(319) 754-1555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1601011985 IA Primary

Addresses

Primary practice location

825 N 6TH St
Burlington, IA 52601-4920

Mailing address

825 N 6TH St
Burlington, IA 52601-4920
Phone (319) 752-8422

Other identifiers 3

IdentifierTypeStateIssuer
P00220337OtherRAILROAD MEDICARE
0420570MedicaidIA
35428OtherBLUE CROSS

National Provider Directory

National Provider Directory

Locations

825 N 6th St
Burlington, IA 52601
Phone (319) 754-4671

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144201591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N 6TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014920",
            "telephone_number": "319-752-8422",
            "fax_number": "319-752-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 6TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014920",
            "telephone_number": "319-752-8422",
            "fax_number": "319-752-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HILL LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEVLING",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-754-1555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA C"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IA",
            "license": "1601011985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00220337",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0420570",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "35428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.