| Roadside Medical Clinic And Lab | |
|
699 State Route 203 Suite 1 East Saint Louis IL 62201-1608 | |
| (941) 225-2520 | |
| (888) 860-8609 |
| Full Name | Roadside Medical Clinic And Lab |
|---|---|
| Speciality | Clinic/center |
| Location | 699 State Route 203, East Saint Louis, Illinois |
| Authorized Official Name and Position | Jonathon Witherspoon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9412252520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roadside Medical Clinic And Lab 8466 Lockwood Ridge Rd #248 Sarasota FL 34243-2951 Ph: (941) 225-2520 | Roadside Medical Clinic And Lab 699 State Route 203 Suite 1 East Saint Louis IL 62201-1608 Ph: (941) 225-2520 |
| NPI Number | 1457665382 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457665382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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