Organization Active NPI

Illinois Valley Acculabs LLC

Doing business as Illinois Valley AccuLabs

  • Clinic/Center
  • Peru, IL
National Provider Identifier
1720734361
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ILLINOIS VALLEY ACCULABS LLC
Doing business as
Illinois Valley AccuLabs
Practice address
2011 Rock St Ste D2
Peru, IL 61354-1392
Phone
(815) 780-8134
NPI assigned
Feb 22, 2022
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Madison Ehlers
Title
Manager
Phone
(815) 780-8134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2011 Rock St Ste D2
Peru, IL 61354-1392

Mailing address

2011 Rock St Ste D2
Peru, IL 61354-1392
Phone (181) 578-0813

Other names 1

  • Illinois Valley AccuLabs Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL visitacculabs.com Direct
Direct Messaging Address mehlers@illinoisvalleyacculabs.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1720734361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ROCK ST STE D2",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541392",
            "telephone_number": "181-578-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ROCK ST STE D2",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541392",
            "telephone_number": "815-780-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS VALLEY ACCULABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-05-23",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-780-8134"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "visitacculabs.com",
            "affiliation": "N",
            "endpointDescription": "mehlers@visitacculabs.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mehlers@visitacculabs.com",
            "address_1": "2011 Rock St Ste D2",
            "city": "Peru",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613541392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mehlers@illinoisvalleyacculabs.com",
            "affiliation": "N",
            "address_1": "2011 Rock St Ste D2",
            "city": "Peru",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613541392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Illinois Valley AccuLabs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illinois Valley AccuLabs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.