HEALTH VENTURES OF SOUTHERN ILLINOIS LLC (NPI# 1831179415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831179415 |
| Entity Type | Organization |
| Organization Name | HEALTH VENTURES OF SOUTHERN ILLINOIS LLC |
| Other Organization Name | TRI-LAB LLC |
| Practice Address |
1512 N Green Mount Rd Tri Lab LLC At St Elizabeths Medical Park O Fallon IL 62269-1953 |
| Mailing Address |
Po Box 790051 Saint Louis MO 63179-0051 |
| Practice Telephone | 6196243750 |
| Practice Fax Number | 6186248478 |
| 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 |
|---|---|---|---|---|
| 1366422032 | Health Ventures of Southern Illinois LLC | Clinical Medical Laboratory | 180 S Third St, Tri-lab LLC Ste 200, Belleville, IL 62220-1952 | 2006-01-19 |
| 1659351336 | Health Ventures of Southern Illinois LLC | Clinical Medical Laboratory | 211 S Third Street, Tri Lab LLC, Belleville, IL 62220-1915 | 2006-01-19 |
| 1811976145 | Health Ventures of Southern Illinois LLC | Clinical Medical Laboratory | 60 Regency, Millstadt, IL 62260-2210 | 2006-01-13 |
| 1093794315 | Health Ventures of Southern Illinois LLC | Clinical Medical Laboratory | #1 St Anthonys Way, Alton, IL 62002-0340 | 2006-01-13 |
| 1801885504 | Health Ventures of Southern Illinois LLC | Clinical Medical Laboratory | 1 Regency Plaza Dr, Collinsville, IL 62234-6114 | 2005-10-17 |
| Street Address |
1512 N GREEN MOUNT RD TRI LAB LLC AT ST ELIZABETHS MEDICAL PARK |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787040 | Dorrie C Tredway | Family Medicine | 1512 N Green Mount Rd, Suite 108, O Fallon, IL 62269-2083 | 2005-08-15 |
| 1487142022 | Vituity - Illinois Auc LLP | Emergency Medicine | 1512 N Green Mount Rd, O Fallon, IL 62269 | 2018-04-30 |
| 1295239747 | Chandler Sparks | Student in an Organized Health Care Education/Training Program | 1512 N Green Mount Rd, O Fallon, IL 62269-2083 | 2018-03-20 |
| 1649660200 | Tara Topper | Nurse Practitioner | 1512 N Green Mount Rd, O Fallon, IL 62269-1953 | 2015-02-03 |
| 1851715692 | Infinity-meds LLP | Emergency Medicine | 1512 N Green Mount Rd, O Fallon, IL 62269-1953 | 2014-02-14 |
| 1639319387 | David Edward Bereda | Family Medicine | 1512 N Green Mount Rd, O Fallon, IL 62269-2083 | 2009-02-20 |
| 1790945103 | Ob Gyn Care LLC | Surgery | 1512 N Green Mount Rd, Suite 107, O Fallon, IL 62269-1953 | 2008-06-10 |
| 1053587402 | Amy Marie Buck | Nurse Practitioner | 1512 N Green Mount Rd, Suite 200, O Fallon, IL 62269-1953 | 2008-05-06 |
| 1932377249 | Stephen Jubinski Jr. | Family Medicine | 1512 N Green Mount Rd, Suite 108, O Fallon, IL 62269-1953 | 2008-02-20 |
| 1003091570 | St. Elizabeth Hospital | Clinic/Center | 1512 N Green Mount Rd, Suite 200, O Fallon, IL 62269-1953 | 2008-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| 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 |
|---|---|---|---|---|
| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1558713313 | Envision Health Lab, LLC | Clinical Medical Laboratory | 1716 Corporate Xing, O Fallon, IL 62269-3743 | 2016-07-05 |
| 1871830885 | Mauro Alcala Paez | Clinical Medical Laboratory | 923 Midpoint Dr, O Fallon, MO 63366-5906 | 2013-01-10 |
| 1881202927 | Progress West Healthcare Center | Clinical Medical Laboratory | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 | 2020-07-15 |
| 1154939312 | Metro-east Services, Inc. | Clinical Medical Laboratory | 1404 Cross St, O Fallon, IL 62269-2988 | 2020-07-14 |
| 1376938225 | Apg Medical Laboratory | Clinical Medical Laboratory | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2015-03-30 |
| 1831222595 | Accura Medical Laboratory Inc | Clinical Medical Laboratory | 206 S Main St, O Fallon, MO 63366-2805 | 2007-03-13 |
| 1912084609 | Laboratory Corporation of America | Clinical Medical Laboratory | 1512 N Green Mount Rd, O Fallon, IL 62269-1953 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1477173847 | Augustus Labs LLC | Clinical Medical Laboratory | 2801 Finley Rd Ste 101, Downers Grove, IL 60515-1038 | 2020-04-25 |
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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.