SPRINGFIELD CLINIC HILLSBORO WEST LAB (NPI# 1427305473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427305473 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD CLINIC HILLSBORO WEST LAB |
| Practice Address |
1280 E Tremont St Hillsboro IL 62049-1912 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175322320 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | MR. ALAN NERONE (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 2175287541 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPRINGFIELD CLINIC LLP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 14D0433654 | 01 |
| Street Address |
1280 E TREMONT ST |
| City | HILLSBORO |
| State | IL |
| Zip Code | 62049-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134108947 | Jean R Eaker | Nurse Practitioner | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2006-01-10 |
| 1316467426 | Emily S. Prater | Social Worker | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2017-06-21 |
| 1275926545 | Sarah Elizabeth White | Nurse Practitioner | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2015-03-11 |
| 1184982506 | Springfield Clinic LLP | Clinic/Center | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2012-04-24 |
| 1588976930 | Lori Anne Hopwood | Nurse Practitioner | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2010-07-13 |
| 1487899662 | Benjamin Ware Cady | Family Medicine | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2008-12-02 |
| 1164619771 | Shiloh M Lipe | Physician Assistant | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2007-09-27 |
| 1053459503 | Thomas Wayne Moll | Social Worker | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2007-02-04 |
| 1235224486 | Brian J Cady Md | Clinic/Center | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2006-10-04 |
| 1811908775 | Brian J Cady | Family Medicine | 1280 E Tremont St, Hillsboro, IL 62049-1912 | 2006-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110734 | Ronald K Howard Jr. | Counselor | 11191 Rte 185, Hillsboro, IL 62049 | 2020-06-26 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1003325887 | Michele Womontree | Psychologist | 11191 Illinois Rt 185, Hillsboro, IL 62049 | 2017-09-25 |
| 1437457116 | Zumwalt Hillsboro Chiropractic Clinic | Chiropractor | 9242 Il Rte #16, Hillsboro, IL 62049 | 2011-03-04 |
| 1437366796 | Francis Felix Kayira | General Practice | Route 185, Graham Correctional Center, Hillsboro, IL 62049 | 2007-05-17 |
| 1225164965 | Kimberly Jan Draper | Speech-Language Pathologist | 10135 W Il Rt 16, Hillsboro, IL 62049 | 2007-02-26 |
| 1174662621 | Jon Ramon Gardner | Dentist | 12078 Il Rte 185, Graham Correctional Center, Hillsboro, IL 62049 | 2007-02-05 |
| 1669527875 | Mccaffrey Family Health Center PC | Chiropractor | 113 West Wood Street, Hillsboro, IL 62049 | 2007-01-25 |
| 1821068875 | Bart Allison Wetzel | Nurse Anesthetist, Certified Registered | 1200 Tremont, Hillsboro, IL 62049 | 2006-01-24 |
| 1699753707 | Gerald Lee Zumwalt | Chiropractor | 9242 Il Rt 16, Hillsboro, IL 62049 | 2006-01-09 |
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| 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. |
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|---|---|---|---|---|
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| 1992087654 | Diabetomics, Inc. | Clinical Medical Laboratory | 2345 Nw Amberbrook Dr, Suite 140, Hillsboro, OR 97006-6972 | 2011-09-19 |
| 1750408159 | Oregon Health Authority Public Health Financial Services | Clinical Medical Laboratory | 3150 Nw 229th Ave Ste 100, Hillsboro, OR 97124-7251 | 2007-03-23 |
| 1891153656 | Lab One LLC | Clinical Medical Laboratory | 4 Hickory Ridge Rd, Ste 600, Hillsboro, MO 63050-5117 | 2016-02-08 |
| 1457505422 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2008-11-04 |
| 1528226305 | Hillsboro Medical Center Lab | Clinical Medical Laboratory | 1250 E Tremont St, Hillsboro, IL 62049-1912 | 2008-05-28 |
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|---|---|---|---|---|
| 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.