Lighthouse Diagnostic Testing

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIGHTHOUSE DIAGNOSTIC TESTING

Practice address

1760 Wabash Ave
Springfield, IL 62791-0836

Phone

(217) 720-7449

NPI assigned

Aug 8, 2026

Organization subpart

No

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

Authorized official

Name

Nate' Russell

Title

Manager

Phone

(217) 720-7449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1407770670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 WABASH AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627910836",
            "telephone_number": "217-720-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 WABASH AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627910836",
            "telephone_number": "217-720-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE DIAGNOSTIC TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "NATE'",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-720-7449"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifetime Dental Care of Illinois, PC
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• Michael J Light, MD
• Jessica L. Lightfoot, PT
• Lighthouse Counseling Solutions, PLLC
• Jaelyne Elizabeth Likes
• Crystal Lillard, RPH
• Rogelio S. Lim, M.D.
• Judy M. Limper, P.T.
• John Ryan Lin

• Clinical Medical Laboratory in Springfield, IL
• Providers in Springfield, 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 Aug 8, 2026; 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.