Active NPI
Valley Laboratories LLC
- Clinical Medical Laboratory
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 02729946
- Legal business name
- VALLEY LABORATORIES LLC
- Practice address
- 545 Valley View Dr
Moline, IL 61265-6138 - Phone
- (309) 762-5560
- Fax
- (309) 762-7351
- NPI assigned
- Jun 24, 2009
- Last updated
- Jan 5, 2015
- Organization subpart
- Yes
- Parent organization
- HEARTLAND CLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rao V. Movva, M.D.
- Title
- President, Chairman, and Manager
- Phone
- (309) 762-5560
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 02729946 | IL | Primary |
Addresses
Primary practice location
545 Valley View Dr
Moline, IL 61265-6138
Mailing address
545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560
National Provider Directory
National Provider Directory- Part of
- Resolve Healthcare LLC
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
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.
-
- Gastroenterology Physician
- Moline, IL
- NPI 1073515243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420416000000",
"number": "1306074711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560",
"fax_number": "309-762-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560",
"fax_number": "309-762-7351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY LABORATORIES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEARTLAND CLINIC, LLC",
"enumeration_date": "2009-06-24",
"last_updated": "2015-01-05",
"status": "A",
"authorized_official_last_name": "MOVVA",
"authorized_official_first_name": "RAO",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PRESIDENT, CHAIRMAN, AND MANAGER",
"authorized_official_telephone_number": "309-762-5560",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IL",
"license": "02729946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.