ROCKFORD REGIONAL SPECIALTY LAB (NPI# 1417134701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417134701 |
| Entity Type | Organization |
| Organization Name | ROCKFORD REGIONAL SPECIALTY LAB |
| Practice Address |
973 Featherstone Rd Suite 101 Rockford IL 61107-5912 |
| Practice Telephone | 8159863737 |
| Practice Fax Number | 8159863748 |
| Mailing Telephone | 8159863737 |
| Mailing Fax Number | 8159863748 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MR. RICHARD J CRONIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8159863757 |
| Is Organization Subpart | Y |
| Parent Organization Name | FERTILITY & REPRODUCTIVE ENDOCRINOLOGY SPECIALISTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | IL | Laboratories |
| Street Address |
973 FEATHERSTONE RD SUITE 101 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467555961 | Maxim Healthcare Services, Inc. | Home Health | 973 Featherstone Rd, Suite 210, Rockford, IL 61107-5912 | 2006-09-07 |
| 1396291324 | Clifton Health Systems LLC | Family Medicine | 973 Featherstone Rd, Suite 340, Rockford, IL 61107-5912 | 2016-08-30 |
| 1811379142 | Rock River Oral Surgery & Dental Implant Center LLC | Clinic/Center | 973 Featherstone Rd, Suite 102, Rockford, IL 61107-5912 | 2015-06-23 |
| 1891974234 | Morris Marc Soriano Md Ltd | Neurological Surgery | 973 Featherstone Rd, Suite360, Rockford, IL 61107-5912 | 2007-11-02 |
| 1750502464 | Fertility & Reproductive Endocrinology Specialists | Obstetrics & Gynecology | 973 Featherstone Rd, Suite 100, Rockford, IL 61107-5912 | 2007-05-01 |
| 1881728129 | Jacek W Graczykowski | Obstetrics & Gynecology | 973 Featherstone Rd, Suite 100, Rockford, IL 61107-5912 | 2007-03-16 |
| 1487788006 | Chiravudh Sawetawan | Obstetrics & Gynecology | 973 Featherstone Rd, Suite 100, Rockford, IL 61107-5912 | 2007-03-15 |
| 1831223593 | Shelley A Rosander | Nurse Practitioner | 973 Featherstone Rd, Suite 100, Rockford, IL 61107-5912 | 2007-03-15 |
| 1568510006 | Morris Marc Soriano | Neurological Surgery | 973 Featherstone Rd, Suite 360, Rockford, IL 61107-5912 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043344526 | Michael Tyrkus | Clinical Medical Laboratory | 2400 North Rockton Ave., Rockford Memorial Hospital, Rockford, IL 61103-3681 | 2007-03-15 |
| 1720631153 | Laboratory Corporation of America | Clinical Medical Laboratory | 1200 W State St, Rockford, IL 61102-2112 | 2019-07-24 |
| 1427601855 | Laboratory Corporation of America | Clinical Medical Laboratory | 1100 Broadway, Rockford, IL 61104-1429 | 2019-07-24 |
| 1033777156 | Laboratory Corporation of America | Clinical Medical Laboratory | 1215 N Alpine Rd, Rockford, IL 61107-2201 | 2019-06-04 |
| 1952849036 | Treatment Alternatives for Safe Communities | Clinical Medical Laboratory | 401 W State St, Rockford, IL 61101-1248 | 2017-02-08 |
| 1104294313 | Aurora Life Sciences, LLC | Clinical Medical Laboratory | 6019 Fincham Dr, Rockford, IL 61108-2550 | 2015-09-03 |
| 1538200423 | Universal Sleep and Attention Center LLC | Clinical Medical Laboratory | 4775 Manhattan Dr, Rockford, IL 61108-2264 | 2007-02-12 |
| 1881702488 | Rockford Memorial Hospital | Clinical Medical Laboratory | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745670 | Rivercross Diagnostics Inc. | Clinical Medical Laboratory | 910 Broadway St Ste Ab, Quincy, IL 62301-2729 | 2020-09-21 |
| 1952915506 | Vip Labs LLC. | Clinical Medical Laboratory | 2555 Lincoln Hwy Ste 104, Olympia Fields, IL 60461-1938 | 2020-09-01 |
| 1538770276 | Precision Phlebotomy Inc | Clinical Medical Laboratory | 9241 S Roberts Rd, Hickory Hills, IL 60457-3809 | 2020-08-15 |
| 1316558182 | Southwest Medical Solutions Inc | Clinical Medical Laboratory | 5533 W 109th St Ste 101, Oak Lawn, IL 60453-5058 | 2020-08-13 |
| 1083232946 | Sjs Medical Labs, LLC D/b/a Arcpoint Labs of Libertyville | Clinical Medical Laboratory | 1659 Northwind Blvd, Libertyville, IL 60048-9613 | 2020-07-08 |
| 1922625961 | Abil Corporation | Clinical Medical Laboratory | 1375 Remington Rd Ste A, Schaumburg, IL 60173-4844 | 2020-06-25 |
| 1588280622 | Radiance Biosciences and Consultancy, LLC | Clinical Medical Laboratory | 1260 Iroquois Ave Ste 302, Naperville, IL 60563-8549 | 2020-06-24 |
| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.