Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERSIDE HEALTH LLC FAIRVIEW HEIGHTS HEALTH CTR
NPI 1457005423
Clinic/Center in Fairview Heights, IL

Q: What is Everside Health LLC Fairview Heights Health Ctr's specialty?

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

Active since February 09, 2022CLIA 14D2257000 · Waiver

5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208(704) 529-6161 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 17, 2026, Feb 9, 2022 (2 updates tracked since 2022).

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About Everside Health Llc Fairview Heights Health Ctr NPPES

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

EVERSIDE HEALTH LLC FAIRVIEW HEIGHTS HEALTH CTR (NPI 1457005423), doing business as Marathon Health, Fairview Heights Il, is a healthcare organization registered as a clinic/center in Fairview Heights, Illinois and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1457005423

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameEVERSIDE HEALTH LLC FAIRVIEW HEIGHTS HEALTH CTR

Location Address5031 N ILLINOIS STFairview Heights, IL 62208-3453

Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916

Phone(704) 529-6161

Organization SubpartNo

Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546

Enumeration DateFebruary 9, 2022

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1457005423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

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).

5031 N ILLINOIS ST, Fairview Heights, IL 62208

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Other Names 1

Doing Business AsMarathon Health, Fairview Heights Il

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 14D2257000

Everside Health Fariview Heights · Fairview Heights, IL

Active · expires Mar 29, 2028

CLIA Number14D2257000

Laboratory TypePhysician Office

Certificate Effective DateMarch 30, 2026

Certificate Expiration DateMarch 29, 2028

Laboratory DirectorBrittney Voyda

Laboratory Phone(618) 619-2920

Laboratory LocationEverside Health Fariview Heights5031 N Illinois St, Fairview Heights, IL 62208

CLIA data matches this NPI record on: Address

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

Other Providers at the Same Location NPPES 5

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

MARATHON HEALTH, LLC

Clinic/Center