Active NPI
Value Lab, LLC
- Clinical Medical Laboratory
- Dixon, IL
National Provider Identifier
1407328065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- VALUE LAB, LLC
- Practice address
- 832 N Galena Ave
Dixon, IL 61021-1519 - Phone
- (815) 288-1960
- NPI assigned
- Dec 20, 2018
- 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
- Linda Burkitt
- Title
- Office Manager
- Phone
- (815) 288-1960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
832 N Galena Ave
Dixon, IL 61021-1519
Mailing address
832 N Galena Ave
Dixon, IL 61021-1519
Phone (815) 288-1960
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2165424 | Value Lab | Certificate of waiver | Apr 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
832 N Galena Ave
Dixon, IL 61021
Phone (815) 288-1960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Phlebotomy Technician
- Dixon, IL
- NPI 1336610807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545264000000",
"number": "1407328065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 N GALENA AVE",
"city": "DIXON",
"state": "IL",
"postal_code": "610211519",
"telephone_number": "815-288-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 N GALENA AVE",
"city": "DIXON",
"state": "IL",
"postal_code": "610211519",
"telephone_number": "815-288-1960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALUE LAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A",
"authorized_official_last_name": "BURKITT",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "815-288-1960"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.