Identi-Check, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IDENTI-CHECK, INC

Practice address

3 N Old State Capitol PLZ
Springfield, IL 62701-1313

Phone

(217) 753-4311

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Micah King

Title

President

Phone

(217) 753-4311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1235613712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N OLD STATE CAPITOL PLZ",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011313",
            "telephone_number": "217-753-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N OLD STATE CAPITOL PLZ",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011313",
            "telephone_number": "217-753-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTI-CHECK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-753-4311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Ania Iannello, MD
• Ahmed Emad Ibrahim Mohamed Ibrahim
• Faisal Abdelaziz Ibrahim
• Mina Ibrahim
• Orlando J. Icaza, M.D.
• Idhs-McFarland MHC- Stevenson Hall (Andrew McFarland MHC, Stevenson, Unit# 4362)
• Idhs-McFarland MHC-Douglas Hall (A. McFarland MHC)
• Idhs-McFarland MHC-Jefferson Hall (A. McFarland MHC)
• Idhs-McFarland MHC-Lincoln Hall (A. McFarland MHC)
• Idhs-McFarland MHC-Monroe Hall (A. McFarland MHC)

• Clinical Medical Laboratory in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.