NPIMap

Organization Active NPI

Southernmost Illinois Community Health Improvement Corporation

Doing business as Cairo Diagnostic Center Laboratory

  • Clinical Medical Laboratory
  • Cairo, IL
National Provider Identifier
1912347485
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION
Doing business as
Cairo Diagnostic Center Laboratory
Practice address
13289 Kessler Rd
Cairo, IL 62914-3101
Phone
(618) 734-1500
Fax
(618) 734-9152
NPI assigned
Jun 28, 2013
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Mr. Frederick L Bernstein
Title
C.E.O.
Phone
(618) 457-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

13289 Kessler Rd
Cairo, IL 62914-3101

Mailing address

13289 Kessler Rd
Cairo, IL 62914-3101
Phone (618) 734-1500

Other names 1

  • Cairo Diagnostic Center Laboratory Doing business as

National Provider Directory

National Provider Directory
Part of
Southernmost Illinois Community Health Improvement Corporation

Locations

13289 Kessler Rd
Cairo, IL 62914
Phone (618) 734-1500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1912347485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13289 KESSLER RD",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-1500",
            "fax_number": "618-734-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13289 KESSLER RD",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-1500",
            "fax_number": "618-734-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "618-457-0450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cairo Diagnostic Center Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cairo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.