Lipid Analysis, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIPID ANALYSIS, INC.

Practice address

326 N 7TH St
Springfield, IL 62701-1014

Phone

(217) 535-3878

Fax

(217) 522-1206

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Cynthia Deitrick, MS

Title

Director

Phone

(217) 535-3878

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Elaine Wilson, R.N.

  • Registered Nurse
  • Springfield, IL
  • NPI 1821216417
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962495119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N 7TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011014",
            "telephone_number": "217-535-3878",
            "fax_number": "217-522-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N 7TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011014",
            "telephone_number": "217-535-3878",
            "fax_number": "217-522-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIPID ANALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEITRICK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-535-3878",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8420838",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Richard Link, D.D.S.
• John W. Link, M.D.
• Matthew J Link, DC
• Michael A. Link, M.D.
• Mary Linscott, L.P.N.
• Joclyn List
• Alaina Lister
• Emily Lu Lister, MD
• David Glenn Lithgow
• Little Bird Psychotherapy PLLC

• 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 Aug 22, 2020; 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.