HEALTH VENTURES OF SOUTHERN ILLONOIS LLC (NPI# 1740260421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740260421 |
| Entity Type | Organization |
| Organization Name | HEALTH VENTURES OF SOUTHERN ILLONOIS LLC |
| Other Organization Name | TRI-LAB LLC |
| Practice Address |
4000 N Illinois Tri-lab LLC @ St Elizabeth's Medical Arts Build Bellevue IL 62226-1998 |
| Mailing Address |
Po Box 790051 Saint Louis MO 63179-0051 |
| Practice Telephone | 6182338130 |
| Practice Fax Number | 6182369847 |
| Mailing Telephone | 6183430640 |
| Mailing Fax Number | 6183430684 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD HUGHES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6183430639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Tri-Lab LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669451977 | Health Ventures of Southern Illonois LLC | Clinical Medical Laboratory | 180 S 3rd St, Ste 300 Tri-lab LLC @ St Elizabeth's Medical Arts Build, Belleville, IL 62220-1952 | 2006-01-13 |
| Street Address |
4000 N ILLINOIS TRI-LAB LLC @ ST ELIZABETH'S MEDICAL ARTS BUILD |
| City | BELLEVUE |
| State | IL |
| Zip Code | 62226-1998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| 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 |
|---|---|---|---|---|
| 1417263591 | Statewide Medicalequipment, Inc | Clinical Medical Laboratory | 7511 S 36th St, Ste 6, Bellevue, NE 68147-1244 | 2010-08-26 |
| 1497082879 | Pathology Associates Medical Laboratories, LLC | Clinical Medical Laboratory | 1000 124th Ave Ne Ste 101, Bellevue, WA 98005-2502 | 2009-11-05 |
| 1285677484 | Laboratory Corporation of America | Clinical Medical Laboratory | 3080 148th Avenue Se #115, Bellevue, WA 98007 | 2006-06-14 |
| 1205813177 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 12917 Se 38th St, Suite 100, Bellevue, WA 98006-1349 | 2005-12-30 |
| 1871589721 | Statewide Medical Equipment, Inc | Clinical Medical Laboratory | 7511 South 36 Street, Suites 6 & 7, Bellevue, NE 68147-1244 | 2005-09-26 |
| 1538662663 | Ideal Option, Pllc | Clinical Medical Laboratory | 1215 120th Ave Ne Ste 201, Bellevue, WA 98005-2135 | 2018-03-15 |
| 1720441801 | Laboratory Corporation of America | Clinical Medical Laboratory | 12917 Se 38th St, Suite 100, Bellevue, WA 98006-1349 | 2016-04-05 |
| 1407231483 | Altius Diagnostics Laboratory LLC | Clinical Medical Laboratory | 12100 Northup Way, Suite A, Bellevue, WA 98005-1920 | 2015-07-20 |
| 1174942957 | Ascendant Laboratories LLC | Clinical Medical Laboratory | 2800 Northup Way Ste 100, Bellevue, WA 98004-1440 | 2014-04-09 |
| 1952659393 | Northwest Physicians Laboratories | Clinical Medical Laboratory | 2840 Northup Way, Suite 100, Bellevue, WA 98004-1464 | 2012-08-15 |
| Find all providers in BELLEVUE | ||||
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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.