Springfield Pediatric & Adolescent Ctr Lab
NPI #1093973182 in Springfield, Illinois
Provider Information
- NPI Number
- 1093973182
- Entity Type
- Organization
- Organization Name
- Springfield Pediatric & Adolescent Ctr Lab
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPRINGFIELD CLINIC, LLP
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 27, 2008
- Last Updated
- Jul 26, 2017
Practice Location
- Address
- 2532 FARRAGUT DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-1433
- Phone
- (217) 528-7541
Authorized Official
- Name
- MR. ALAN NERONE
- Title
- SENIOR VICE PRESIDENT & CFO
- Phone
- (217) 528-7541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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