Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA C. RANDOLPH MD SC
Active OrganizationLAURA C. RANDOLPH MD SC is a Medical Specialty Clinic organization located in BLOOMINGTON, Illinois. NPI 1255527727 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1255527727
- Provider Type
- Organization
- NPI Issued
- Sep 19, 2007 (18.935004973809 yrs)
- Last Updated
- Sep 19, 2007
- License
-
36100030 (IL)
Practice Information
- Address
-
2502 E EMPIRE STSUITE CBLOOMINGTON, IL, 617043738Browse IL providers · Browse ZIP 61704
- Phone
- 3096646222
- Fax
- 3096645006
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
Other Medical Specialty Clinic Organizations in BLOOMINGTON, IL
| Name | NPI |
|---|---|
| CHAD TATTINI, MD LLC | 1598951063 |
| KENT S TAULBEE MD SC | 1134308620 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.