Organization Active NPI

Center for Gastrointestinal Health

  • Clinical Medical Laboratory
  • Fairview Heights, IL
National Provider Identifier
1790106151
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jan 2, 2014

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)CodeLicenseStatePrimary
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 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
14D2241550Center for Gastrointestinal Health, SC5023 N Illinois St, Fairview Heights, IL 62208Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.