Wabash Family Practice Center Lab

NPI #1346408424 in Springfield, Illinois

Provider Information

NPI Number
1346408424
Entity Type
Organization
Organization Name
Wabash Family Practice Center 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 25, 2017

Practice Location

Address
2200 WABASH AVE
ZIP Code
62704-5352
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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