Active NPI
Laboratory Physicians, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Geneva, IL
National Provider Identifier
1437185147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036089395
- Legal business name
- LABORATORY PHYSICIANS, LLC
- Practice address
- 300 Randall Rd
Geneva, IL 60134-4200 - Phone
- (630) 208-9552
- NPI assigned
- Jun 24, 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
- Lawrence Bartusek, M.D.
- Title
- President
- Phone
- (877) 852-4669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036089395 | IL | Primary |
Addresses
Primary practice location
300 Randall Rd
Geneva, IL 60134-4200
Mailing address
PO Box 10200
Peoria, IL 61612-0200
Phone (877) 852-4669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232259 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Springfield, IL
- NPI 1699702423
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Springfield, IL
- NPI 1215908850
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Springfield, IL
- NPI 1043252224
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Springfield, IL
- NPI 1780611566
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1437185147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10200",
"city": "PEORIA",
"state": "IL",
"postal_code": "616120200",
"telephone_number": "877-852-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RANDALL RD",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344200",
"telephone_number": "630-208-9552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "BARTUSEK",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "877-852-4669",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036089395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "02232259",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.