NPIMap

Organization Active NPI

Sherman Family Medical Center Lab

  • Clinical Medical Laboratory
  • Sherman, IL
National Provider Identifier
1710145594
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHERMAN FAMILY MEDICAL CENTER LAB
Practice address
400 Saint Johns Dr
Sherman, IL 62684-9779
Phone
(217) 528-7541
NPI assigned
May 28, 2008
Last updated
Jul 25, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRINGFIELD CLINIC LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Mr. Alan Nerone
Title
Senior Vice President & Cfo
Phone
(217) 528-7541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

400 Saint Johns Dr
Sherman, IL 62684-9779

Mailing address

1025 South 6TH Street
Springfield, IL 62703-2403
Phone (217) 528-7541

Other identifiers 1

IdentifierTypeStateIssuer
14D0435547OtherCLIA

National Provider Directory

National Provider Directory
Tax ID family
Taylorville Medical Associates Lab63 organizations share this tax ID, including this one
Part of
Taylorville Medical Associates Lab

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1710145594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SOUTH 6TH STREET",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAINT JOHNS DR",
            "city": "SHERMAN",
            "state": "IL",
            "postal_code": "626849779",
            "telephone_number": "217-528-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN FAMILY MEDICAL CENTER LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRINGFIELD CLINIC LLP",
        "enumeration_date": "2008-05-28",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "NERONE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "217-528-7541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0435547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.