CB Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CB LABORATORY LLC

Doing business as

CB Laboratory LLC

Practice address

370 E Courtland St
Morton, IL 61550-9054

Phone

(309) 291-0899

Fax

(309) 291-0927

NPI assigned

May 4, 2023

Last updated

May 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jaymie Danielle Ryan, CLS (ASCP)

Title

Clinical Laboratory Scientist

Phone

(309) 291-0899

Specialties & licenses 1

Addresses

Other names 1

• CB Laboratory LLC Doing business as

Locations

Practitioners 2

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.

• Elizabeth Anne Hayes, APN

  • Family Nurse Practitioner
  • Morton, IL
  • NPI 1134484041
  NPD
• Chris Wade, PA-C

  • Physician Assistant
  • Morton, IL
  • NPI 1568425924
  NPD

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1336838457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E COURTLAND ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615509054",
            "telephone_number": "309-291-0899",
            "fax_number": "309-291-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E COURTLAND ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615509054",
            "telephone_number": "309-291-0899",
            "fax_number": "309-291-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JAYMIE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CLINICAL LABORATORY SCIENTIST",
        "authorized_official_telephone_number": "309-291-0899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CLS (ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CB Laboratory LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renae Callahan
• Care Solutions of Illinois Inc (Dynamic Physical Therapy)
• Care Solutions of Illinois Inc (Care Solutions)
• Charles J Carlin, D.C
• Patrick Carr, RPH.
• Centered Therapy & Wellness PLLC
• Alexander Chacko, LCSW, MS, PHD
• Anna Chambers, DMD
• Champion Fitness, Inc (CF Physical Therapy)
• Chapters Counseling PLLC

• Clinical Medical Laboratory in Morton, IL
• Providers in Morton, 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 May 12, 2023; 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.