VALLEY REGIONAL HEALTH SERVICES L3C
NPI 1053619742
Physiological Laboratory in Peru, IL

Active since March 04, 2011
4391 VENTURE DR, PERU, IL 61354(815) 664-1328(815) 664-1406 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physiological Laboratory

About VALLEY REGIONAL HEALTH SERVICES L3C

This page provides the complete NPI Profile along with additional information for Valley Regional Health Services L3c, a provider established in Peru, Illinois operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1053619742 assigned on March 2011. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Timothy A Muntz (Manager)

NPI
1053619742 Verify this NPI
Provider Name
VALLEY REGIONAL HEALTH SERVICES L3C
Entity Type
Organization
Location Address
4391 VENTURE DR PERU, IL 61354
Location Phone
(815) 664-1328
Location Fax
(815) 664-1406
Mailing Address
600 E 1ST ST SPRING VALLEY, IL 61362
Mailing Phone
(815) 664-1328
Mailing Fax
(815) 664-1406
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2011
Last Update Date
03-04-2011
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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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
Taxonomy Description
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

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. TIMOTHY A MUNTZ

Authorized Official Title
MANAGER
Authorized Official Phone
(815) 664-1372

Reviews for VALLEY REGIONAL HEALTH SERVICES L3C

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
4391 VENTURE DR
PERU, IL 61354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053619742, enumerated as an "organization" on March 04, 2011.

The provider is located at 4391 VENTURE DR PERU, IL 61354 and the phone number is (815) 664-1328.

Physiological Laboratory with taxonomy code 293D00000X.