Active NPI
Biovision Clinical LLC
- Registered Dietitian
- Shiloh, IL
National Provider Identifier
1588412993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- BIOVISION CLINICAL LLC
- Practice address
- 3717 Golfview Cir
Shiloh, IL 62221-4579 - Phone
- (314) 467-8555
- NPI assigned
- May 9, 2024
- Last updated
- Sep 24, 2025
- 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
- Vince Ojeda
- Title
- Ceo
- Phone
- (618) 690-9555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3717 Golfview Cir
Shiloh, IL 62221-4579
Mailing address
3717 Golfview Cir
Shiloh, IL 62221-4579
Phone (314) 467-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Biovision Clinical LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Collinsville, IL
- NPI 1518531292
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Lake Saint Louis, MO
- NPI 1780959288
Dietitian, Registered, IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1588412993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 GOLFVIEW CIR",
"city": "SHILOH",
"state": "IL",
"postal_code": "622214579",
"telephone_number": "314-467-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 GOLFVIEW CIR",
"city": "SHILOH",
"state": "IL",
"postal_code": "622214579",
"telephone_number": "314-467-8555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOVISION CLINICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "OJEDA",
"authorized_official_first_name": "VINCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "618-690-9555"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shiloh, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.