Organization Active NPI

TT Medco

Doing business as True Test HRT

  • Public Health & General Preventive Medicine Physician
  • Marion, IL
National Provider Identifier
1316695257
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
TT MEDCO
Doing business as
True Test HRT
Practice address
2700 W Deyoung St Ste B
Marion, IL 62959-4943
Phone
(618) 422-8688
Fax
(618) 615-4273
NPI assigned
Mar 10, 2022
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Denise Burroughs
Title
Clinic Executive
Phone
(618) 694-0739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X Primary

Addresses

Primary practice location

2700 W Deyoung St Ste B
Marion, IL 62959-4943

Mailing address

2700 W Deyoung St Ste B
Marion, IL 62959-4943
Phone (618) 422-8688

Other names 1

  • True Test HRT Doing business as

National Provider Directory

National Provider Directory

Locations

2700 W Deyoung St
Ste B
Marion, IL 62959
Phone (618) 422-8688

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1316695257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W DEYOUNG ST STE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594943",
            "telephone_number": "618-422-8688",
            "fax_number": "618-615-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W DEYOUNG ST STE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594943",
            "telephone_number": "618-422-8688",
            "fax_number": "618-615-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TT MEDCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CLINIC EXECUTIVE",
        "authorized_official_telephone_number": "618-694-0739"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Test HRT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.