Organization
SPRINGFIELD CLINIC HILLSBORO WEST LAB
Active
Organization
SPRINGFIELD CLINIC HILLSBORO WEST LAB
Active
Parent organization
SPRINGFIELD CLINIC LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRINGFIELD CLINIC LLP
Authorized official
MR. ALAN NERONE (SENIOR VICE PRESIDENT & CFO)
(217) 528-7541
Entity
Organization
Contact information
Practice address
1280 E TREMONT ST, HILLSBORO, IL 62049-1912
(217) 532-2320
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D0433654
CLIA
—
Enumeration date
08/09/2012
Last updated
07/26/2017
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