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: July 19, 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
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

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.

Pediatrics
101 E 5TH ST
DELAVAN, IL 61734

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053675181, enumerated as an "organization" on July 03, 2012.

The provider is located at 101 E 5TH ST DELAVAN, IL 61734 and the phone number is (309) 244-8445.

Clinic/Center with taxonomy code 261Q00000X.