Active NPI
Center for Gastrointestinal Health
- Clinical Medical Laboratory
- Fairview Heights, IL
National Provider Identifier
1790106151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CENTER FOR GASTROINTESTINAL HEALTH
- Practice address
- 5023 N Illinois St
Suite 2
Fairview Heights, IL 62208-3453 - Phone
- (618) 239-0678
- Fax
- (618) 235-0471
- NPI assigned
- Jan 2, 2014
- 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
- Laurie Lee Craig
- Title
- Office Manager
- Phone
- (618) 239-0678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
5023 N Illinois St
Suite 2
Fairview Heights, IL 62208-3453
Mailing address
5023 N Illinois St
Suite 2
Fairview Heights, IL 62208-3453
Phone (618) 239-0678
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2241550 | Center for Gastrointestinal Health, SC | Certificate of waiver | Oct 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
5023 N Illinois St
Ste 2
Fairview Heights, IL 62208
Phone (618) 239-0678
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Fairview Heights, IL
- NPI 1699792143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388620800000",
"number": "1790106151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5023 N ILLINOIS ST",
"address_2": "SUITE 2",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622083453",
"telephone_number": "618-239-0678",
"fax_number": "618-235-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5023 N ILLINOIS ST",
"address_2": "SUITE 2",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622083453",
"telephone_number": "618-239-0678",
"fax_number": "618-235-0471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR GASTROINTESTINAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "618-239-0678"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Heights, IL
- Caretenders Visiting Services of Southern Illinois, LLC
- Chester A Carothers Jr., L.C.S.W.
- Ciara Nicole Carter
- Madison L Castillo
- Center for Advanced Medicine LLC
- Center for Gastrointestinal Health, SC
- Jill Nicole Ceretto, COTA/L
- Chestnut Health Systems, Inc.
- Earnestine Moore Chotkowski, REGISTERED NURSE
- Marie Clark, M.A., LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.