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Organization

SPRINGFIELD CLINIC LLP

Active
Parent organization
SPRINGFIELD CLINIC LLP
Other names
Springfield Clinic Altamont Lab
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPRINGFIELD CLINIC LLP
Authorized official
JAMES ALAN NERONE (SENIOR VP & CFO)
(217) 528-7541
Entity
Organization

Contact information

Practice address
3 DO IT DR, ALTAMONT, IL 62411-1135
(618) 483-6131
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14D0938195
CLIA
Enumeration date
04/26/2018
Last updated
04/26/2018
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