TAYLORVILLE MEDICAL ASSOCIATES LAB
NPI 1245498104
Clinical Medical Laboratory in Taylorville, IL

NPI Status: Active since May 28, 2008

Contact Information

303 E BIDWELL ST
TAYLORVILLE, IL
ZIP 62568
Phone: (217) 824-4939

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  • Organization
  • Clinical Medical Laboratory

About TAYLORVILLE MEDICAL ASSOCIATES LAB

This page provides the complete NPI Profile along with additional information for Taylorville Medical Associates Lab, a provider established in Taylorville, Illinois operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1245498104 assigned on May 2008. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Randall A Bryant (Cfo)

NPI
1245498104
Provider Name
TAYLORVILLE MEDICAL ASSOCIATES LAB
Entity Type
Organization
Location Address
303 E BIDWELL ST TAYLORVILLE, IL 62568
Location Phone
(217) 824-4939
Mailing Address
303 E BIDWELL ST TAYLORVILLE, IL 62568
Mailing Phone
(217) 824-4939
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-28-2008
Last Update Date
08-01-2008
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Establishments like Taylorville Medical Associates Lab are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RANDALL A BRYANT

Authorized Official Title
CFO
Authorized Official Phone
(217) 528-7541

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
14D0435310OTHER (01)CLIA
208260MEDICARE PIN (08) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245498104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285891610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 9 + 1 + 6 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1245498104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235316191SPRINGFIELD CLINIC, LLP
Organization
Clinic/Center (Rural Health)303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 824-4939
1043790306 LORI A BLAND NP-C
Individual
Nurse Practitioner (Family)303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 824-3566
1558910794MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 525-1064
1679226930 CASSANDRA L EILERS LCSW
Individual
Social Worker (Clinical)303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 824-3566
1851934871BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 824-3566
1053004820 ANDREW POWELL WINDMILLER LCPC
Individual
Counselor (Professional)303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 824-1134
1184415770 HALEY KLEIN
Individual
Community Health Worker303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 824-1134
1194516377 KATIE NICOLE MCKENNA CRSS
Individual
Community Health Worker303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 824-1134
1487445979MRS. DEBBIE STEPHENS
Individual
Community Health Worker303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 502-2271
1679364228 SANDRA ENGLAND
Individual
Community Health Worker303 E BIDWELL ST
TAYLORVILLE, IL 62568
(217) 824-1134

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245498104, enumerated in the NPI registry as an "organization" on May 28, 2008

The provider is located at 303 E Bidwell St Taylorville, Il 62568 and the phone number is (217) 824-4939

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 28, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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