Rockford Regional Specialty Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ROCKFORD REGIONAL SPECIALTY LAB

Practice address

973 Featherstone Rd
Suite 101
Rockford, IL 61107-5912

Phone

(815) 986-3737

Fax

(815) 986-3748

NPI assigned

Jan 29, 2008

Organization subpart

Yes

Parent organization

FERTILITY & REPRODUCTIVE ENDOCRINOLOGY SPECIALISTSAs reported in NPPES

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

Authorized official

Name

Mr. Richard J Cronin

Title

Chief Financial Officer

Phone

(815) 986-3757

Specialties & licenses 1

Addresses

Part of

Fertilityrepro Specialists

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fertility & Reproductive Endocrinology Specialists

  dba Reproductive Health & Fertility Center

  • Reproductive Endocrinology Physician
  • Rockford, IL
  • NPI 1750502464
  NPPES parent name

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1417134701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 FEATHERSTONE RD",
            "address_2": "SUITE 101",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075912",
            "telephone_number": "815-986-3737",
            "fax_number": "815-986-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 FEATHERSTONE RD",
            "address_2": "SUITE 101",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075912",
            "telephone_number": "815-986-3737",
            "fax_number": "815-986-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD REGIONAL SPECIALTY LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FERTILITY & REPRODUCTIVE ENDOCRINOLOGY SPECIALISTS",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "815-986-3757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockford Public Schools
• Rockford Public Schools Dis205
• Rockford Pulmonary Clinic
• Rockford Radiation Oncology LTD
• Rockford Radiology Assoc
• Rockford Rehabilitation Medicine, SC
• Rockford Retina Clinic, S.C.
• Rockford RN First Assistant, PC
• Rockford School District
• Rockford SLF, LLC

• Clinical Medical Laboratory in Rockford, IL
• Providers in Rockford, 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 Jan 29, 2008; 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.