Rivercross Diagnostics Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RIVERCROSS DIAGNOSTICS INC.

Doing business as

Rivercross Diagnostics

Practice address

910 Broadway St Ste Ab
Quincy, IL 62301-2729

Phone

(573) 223-8400

Fax

(217) 277-8981

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Patrick M Gerveler

Title

Treasurer

Phone

(217) 223-8400

Specialties & licenses 1

Addresses

Other names 1

• Rivercross Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1235745670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BROADWAY ST STE AB",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012729",
            "telephone_number": "573-223-8400",
            "fax_number": "217-277-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BROADWAY ST STE AB",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012729",
            "telephone_number": "573-223-8400",
            "fax_number": "217-277-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCROSS DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "GERVELER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "217-223-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivercross Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald T Riley, M.D.
• Molly Ringenberg, BS
• Meredith Anne Becks Ringhausen, MA, BCBA, LBA
• Mary Ruth Ripper, MSW, LCSW, OSW-C
• Angela Riutzel, LCSW
• Rivercross Diagnostics, LLC (Rivercross Diagnostics)
• Robert E. Merrick PC
• Jennifer Roberts
• Kelvin R Roberts, LCSW
• Wade Roberts, DPT, PT

• Clinical Medical Laboratory in Quincy, IL
• Providers in Quincy, 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 21, 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.