NPIMap

Organization Active NPI

Springfield Clinic Riverton Lab

  • Clinical Medical Laboratory
  • Riverton, IL
National Provider Identifier
1184901167
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SPRINGFIELD CLINIC RIVERTON LAB
Practice address
1275 N 7TH St
Suite a
Riverton, IL 62561-9739
Phone
(217) 525-4150
NPI assigned
Nov 4, 2011
Last updated
Jul 24, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRINFIELD CLINIC LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Authorized official

Name
Mr. Alan Nerone
Title
Senior Vice President & Cfo
Phone
(217) 528-7541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1275 N 7TH St
Suite a
Riverton, IL 62561-9739

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

Other identifiers 1

IdentifierTypeStateIssuer
14D2020046OtherCLIA

National Provider Directory

National Provider Directory
Tax ID family
Springield Clinic63 organizations share this tax ID, including this one
Part of
Springield Clinic

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1275 N 7th St
Ste A
Riverton, IL 62561
Phone (217) 525-4150

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1184901167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N 7TH ST",
            "address_2": "SUITE A",
            "city": "RIVERTON",
            "state": "IL",
            "postal_code": "625619739",
            "telephone_number": "217-525-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD CLINIC RIVERTON LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRINFIELD CLINIC LLP",
        "enumeration_date": "2011-11-04",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "NERONE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "217-528-7541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D2020046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.