Active NPI
Rivercross Diagnostics, LLC
Doing business as Rivercross Diagnostics
- Clinical Medical Laboratory
- Quincy, IL
National Provider Identifier
1851994024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- RIVERCROSS DIAGNOSTICS, LLC
- Doing business as
- Rivercross Diagnostics
- Practice address
- 910 Broadway St Ste B
Quincy, IL 62301-2729 - Phone
- (217) 223-8400
- NPI assigned
- Nov 19, 2020
- 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
- Kurt Ebers
- Title
- Administrator
- Phone
- (573) 719-8933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
910 Broadway St Ste B
Quincy, IL 62301-2729
Mailing address
910 Broadway St Ste B
Quincy, IL 62301-2729
Phone (217) 223-8400
Other names 1
- Rivercross Diagnostics
National Provider Directory
National Provider DirectoryLocations
910 Broadway St
Ste B
Quincy, IL 62301
Phone 21722384007205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1851994024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 BROADWAY ST STE B",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012729",
"telephone_number": "217-223-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 BROADWAY ST STE B",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012729",
"telephone_number": "217-223-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERCROSS DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-19",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "EBERS",
"authorized_official_first_name": "KURT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-719-8933"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rivercross Diagnostics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rivercross Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.