Organization Active NPI

Rivercross Diagnostics, LLC

Doing business as Rivercross Diagnostics

  • Clinical Medical Laboratory
  • Quincy, IL
National Provider Identifier
1851994024
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Mar 8, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.