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DELAVAN PEDIATRICS, LLC
NPI 1053675181
Clinic/Center in Delavan, IL

Active since July 03, 2012CLIA 14D2043477 · Waiver
101 E 5TH ST, DELAVAN, IL 61734(309) 244-8445(309) 244-8452 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Delavan Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELAVAN PEDIATRICS, LLC (NPI 1053675181) is a healthcare organization registered as a clinic/center in Delavan, Illinois and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Joseph Flint, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1053675181
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDELAVAN PEDIATRICS, LLC
Location Address101 E 5TH STDelavan, IL 61734-9619
Mailing Address101 E 5th StDelavan, IL 61734-9619
Phone(309) 244-8445
Fax(309) 244-8452
Organization SubpartNo
Authorized OfficialJoseph FlintOwner/physician · (309) 244-8445
Enumeration DateJuly 3, 2012
✔ NPI 1053675181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 036112406
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
101 E 5TH ST, Delavan, IL 61734
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2043477

Delavan Pediatrics LLC · Delavan, IL
Active · expires Jul 2, 2028
CLIA Number14D2043477
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorJoseph L. Flint
Laboratory Phone(309) 244-8445
Laboratory LocationDelavan Pediatrics LLC101 E 5th St, Delavan, IL 61734
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH FLINT MD
Pediatrics
101 E 5TH ST
DELAVAN, IL 61734
Tazewell County (309) 696-2216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delavan Pediatrics, LLC's NPI number?

The NPI number for Delavan Pediatrics, LLC is 1053675181. It was assigned to this organization in the NPPES registry on July 3, 2012.

Where is Delavan Pediatrics, LLC located?

Delavan Pediatrics, LLC is located at 101 E 5th St, Delavan, IL 61734. The listed phone number is (309) 244-8445.

What is Delavan Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Delavan Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2043477) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Delavan Pediatrics, LLC was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.