Organization Active NPI

Preferred Laboratory Services Inc

  • Clinical Medical Laboratory
  • Danville, IL
National Provider Identifier
1659013498
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PREFERRED LABORATORY SERVICES INC
Practice address
620 N Gilbert St # 620
Danville, IL 61832-3940
Phone
(217) 703-0180
Fax
(513) 860-0373
NPI assigned
Apr 12, 2022
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Troy Evans
Title
Secretary/Owner
Phone
(513) 866-7922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

620 N Gilbert St # 620
Danville, IL 61832-3940

Mailing address

PO Box 638651
Cincinnati, OH 45263-8651
Phone (217) 703-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220511001808 IL Part B Supplier - Independent Clinical Laboratory 8224415369 Practice locations: Danville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2245592Preferred Laboratory Services620 N Gilbert St - Unit 620 (Danville Plaza), Danville, IL 61832AccreditationDec 4, 2027

National Provider Directory

National Provider Directory

Locations

620 N Gilbert St
#620
Danville, IL 61832
Phone (217) 703-0180

620 N Gilbert St
Unit 620
Danville, IL 61832

9363 Allen Rd
Ste B
West Chester, OH 45069
Phone (513) 866-7922

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1659013498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638651",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638651",
            "telephone_number": "217-703-0180",
            "fax_number": "513-860-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N GILBERT ST # 620",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323940",
            "telephone_number": "217-703-0180",
            "fax_number": "513-860-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED LABORATORY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "SECRETARY/OWNER",
        "authorized_official_telephone_number": "513-866-7922"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.