Organization
HILLSBORO MEDICAL CENTER AT NOKOMIS LAB
Active
Parent organization
SPRINGFIELD CLINIC LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRINGFIELD CLINIC LLP
Authorized official
MR. RANDALL A BRYANT (CFO)
(217) 528-7541
Entity
Organization
Contact information
Practice address
105 S STATE STREET, NOKOMIS, IL 62075-1341
(217) 528-7541
Mailing address
105 S STATE STREET, NOKOMIS, IL 62075-1341
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D1071840
CLIA
—
Enumeration date
05/29/2008
Last updated
08/01/2008
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