ISU STUDENT HEALTH SERVICE
NPI 1336216027
Clinic/Center - Health Service in Normal, IL

Q: What is Illinois State University's NPI number?

The NPI number for Illinois State University is 1336216027. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Isu Student Health Service.

Q: What is Illinois State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since November 29, 2006CLIA Certified · 2 labs

COLLEGE AND UNIVERSITY, SUITE 2540, NORMAL, IL 61790(309) 438-8258(309) 438-3689 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Isu Student Health Service NPPES

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

ISU STUDENT HEALTH SERVICE (NPI 1336216027) is a healthcare organization registered as a health service in Normal, Illinois and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists James Kellogg, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1336216027

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameILLINOIS STATE UNIVERSITY

Location AddressCOLLEGE AND UNIVERSITY, SUITE 2540Normal, IL 61790-2540

Mailing AddressCollege And University, Suite 2540Normal, IL 61790-2540 · (309) 438-8258 · Fax (309) 438-3689

Phone(309) 438-8258

Fax(309) 438-3689

Organization SubpartYes

Authorized OfficialJames KelloggAssociate Director · (309) 438-8258

Enumeration DateNovember 29, 2006

Last NPPES UpdateJune 26, 2008

✔ NPI 1336216027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

COLLEGE AND UNIVERSITY, Normal, IL 61790

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Other Names 1

Doing Business AsIsu Student Health Service

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 14D0669515

Illinois State University Student Health Service · Normal, IL

Active · expires Mar 9, 2028

CLIA Number14D0669515

Laboratory TypeSchool/Student Health Service

Certificate Effective DateMarch 10, 2026

Certificate Expiration DateMarch 9, 2028

Laboratory DirectorPhoebe Panopio

Laboratory Phone(309) 438-3548

Laboratory LocationIllinois State University Student Health Service201 N University St, Normal, IL 61790

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 14D2201857

Illinois State University Athletics · Normal, IL

Active · expires Nov 23, 2026

CLIA Number14D2201857

Laboratory TypeAthletics

Certificate Effective DateNovember 24, 2024

Certificate Expiration DateNovember 23, 2026

Laboratory DirectorJohn Munn

Laboratory Phone(309) 438-7328

Laboratory LocationIllinois State University AthleticsRedbird Arena Rm 117, Normal, IL 61790

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Illinois State University's NPI number?

The NPI number for Illinois State University is 1336216027. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Isu Student Health Service.

Where is Illinois State University located?

Illinois State University is located at College And University Suite 2540, Normal, IL 61790. The listed phone number is (309) 438-8258.

What is Illinois State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Illinois State University hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Illinois State University was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.