Molecular Lab Associates Illinois

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOLECULAR LAB ASSOCIATES ILLINOIS

Practice address

2908 Greenbriar Dr Ste a
Springfield, IL 62704-7433

Phone

(833) 480-2441

NPI assigned

Mar 2, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Renzi

Title

Owner

Phone

(913) 645-8862

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1841999430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16124 FOSTER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858417",
            "telephone_number": "913-379-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 GREENBRIAR DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047433",
            "telephone_number": "833-480-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR LAB ASSOCIATES ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "RENZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-645-8862",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shereen M Mohammed
• Ashley Rachel Mohan, DO
• Sanaz Moharram-Zadeh, M.D
• Nawal Moin, MD
• Jessica Berry Moja, M.D.
• Kimberly Anne Molik, MD
• Jennifer Lynne Mollerud, MS
• Sharon Kay Mollman, RNFA
• Randi Janae Molohon
• Laura Joan Molony, MD

• Clinical Medical Laboratory in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.