Active NPI
Scan American Springfield LLC
- Physiological Laboratory
- Springfield, IL
National Provider Identifier
1376505495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- SCAN AMERICAN SPRINGFIELD LLC
- Practice address
- 619 E Mason St
Room 4P70
Springfield, IL 62701-1034 - Phone
- (217) 528-4633
- Fax
- (217) 528-4631
- NPI assigned
- Apr 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Hohl
- Title
- President
- Phone
- (615) 599-7655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
619 E Mason St
Room 4P70
Springfield, IL 62701-1034
Mailing address
800 E Carpenter St
PO Box 1977
Springfield, IL 62702-5324
Phone (217) 544-6464
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08432063 | Other | IL | BLUE CROSS BLUE SHIELD |
| 516545 | Other | IL | HEALTHLINK |
| 3333333 | Other | IL | UMWA |
| P00052970 | Other | IL | RAILROAD MEDICARE |
| 081769 | Other | IL | HEALTH ALLIANCE |
National Provider Directory
National Provider DirectoryLocations
619 E Mason St
Rm 4P70
Springfield, IL 62701
Phone (217) 528-4633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376505495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"address_2": "PO BOX 1977",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025324",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 E MASON ST",
"address_2": "ROOM 4P70",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011034",
"telephone_number": "217-528-4633",
"fax_number": "217-528-4631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCAN AMERICAN SPRINGFIELD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOHL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-599-7655"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08432063",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "516545",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "3333333",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00052970",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "081769",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.