Springfield Family Practice Lab
NPI #1902064785 in Springfield, Illinois
Provider Information
- NPI Number
- 1902064785
- Entity Type
- Organization
- Organization Name
- Springfield Family Practice Lab
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPRINGFIELD CLINIC LLP
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 28, 2008
- Last Updated
- Jul 25, 2017
Practice Location
- Address
- 1100 CENTRE WEST DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-2100
- 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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