NPIMap

Organization Active NPI

Springfield Clinic LLP

Doing business as Springfield Clinic Flora Lab

  • Clinical Medical Laboratory
  • Flora, IL
National Provider Identifier
1801384722
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SPRINGFIELD CLINIC LLP
Doing business as
Springfield Clinic Flora Lab
Practice address
501 N Main St
Flora, IL 62839-1405
Phone
(618) 403-5040
NPI assigned
Apr 26, 2018
Last updated
Apr 26, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRINGFIELD CLINIC LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
James Alan Nerone
Title
Senior VP & Cfo
Phone
(217) 528-7541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

501 N Main St
Flora, IL 62839-1405

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Other identifiers 1

IdentifierTypeStateIssuer
14D1075342OtherCLIA

Other names 1

  • Springfield Clinic Flora Lab Doing business as

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
14D1075342Springfield Clinic Flora501 N Main St, Flora, IL 62839Provider-performed microscopyMar 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Springield Clinic63 organizations share this tax ID, including this one
Part of
Springield Clinic

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": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1801384722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628391405",
            "telephone_number": "618-403-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD CLINIC LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRINGFIELD CLINIC LLP",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "NERONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "217-528-7541"
    },
    "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": "14D1075342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Clinic Flora Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springfield Clinic Flora Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.