Organization Active NPI

Freedom Diagnostic Testing, PLLC

  • Phlebology Physician
  • Hillsboro, IL
National Provider Identifier
1164166567
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
FREEDOM DIAGNOSTIC TESTING, PLLC
Practice address
715 S Main St
Hillsboro, IL 62049-1733
Phone
(217) 675-7072
Fax
(217) 334-1313
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Sara Beth Duff, CPTNPI 1376279661
Title
Co-Owner
Phone
(217) 675-7072

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
Phlebology Physician 202K00000X Primary

Addresses

Primary practice location

715 S Main St
Hillsboro, IL 62049-1733

Mailing address

715 S Main St
Hillsboro, IL 62049-1733
Phone (217) 675-7072

National Provider Directory

National Provider Directory

Locations

715 S Main St
Hillsboro, IL 62049
Phone (217) 675-7072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1164166567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S MAIN ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491733",
            "telephone_number": "217-675-7072",
            "fax_number": "217-334-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S MAIN ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491733",
            "telephone_number": "217-675-7072",
            "fax_number": "217-334-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DIAGNOSTIC TESTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "217-675-7072",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.