ROADSIDE MEDICAL CLINIC AND LAB
NPI 1457665382
Clinic/Center in East Saint Louis, IL

Q: What is Roadside Medical, LLC's NPI number?

The NPI number for Roadside Medical, LLC is 1457665382. It was assigned to this organization in the NPPES registry on August 3, 2010. The provider is doing business as Roadside Medical Clinic And Lab.

Q: What is Roadside Medical, LLC's specialty?

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

Active since August 03, 2010

699 STATE ROUTE 203, SUITE 1, EAST SAINT LOUIS, IL 62201(941) 225-2520(888) 860-8609 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roadside Medical Clinic And Lab NPPES

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

ROADSIDE MEDICAL CLINIC AND LAB (NPI 1457665382) is a healthcare organization registered as a clinic/center in East Saint Louis, Illinois and active in the NPI registry since August 2010. The organization lists Jonathon Witherspoon, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1457665382

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameROADSIDE MEDICAL, LLC

Location Address699 STATE ROUTE 203, SUITE 1East Saint Louis, IL 62201-1608

Mailing Address8466 Lockwood Ridge Rd, #248Sarasota, FL 34243-2951 · (941) 225-2520 · Fax (888) 860-8609

Phone(941) 225-2520

Fax(888) 860-8609

Organization SubpartNo

Authorized OfficialJonathon WitherspoonChief Executive Officer · (941) 225-2520

Enumeration DateAugust 3, 2010

✔ NPI 1457665382 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).

699 STATE ROUTE 203, East Saint Louis, IL 62201

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Other Names 1

Doing Business AsRoadside Medical Clinic And Lab

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 Roadside Medical, LLC's NPI number?

The NPI number for Roadside Medical, LLC is 1457665382. It was assigned to this organization in the NPPES registry on August 3, 2010. The provider is doing business as Roadside Medical Clinic And Lab.

Where is Roadside Medical, LLC located?

Roadside Medical, LLC is located at 699 State Route 203 Suite 1, East Saint Louis, IL 62201. The listed phone number is (941) 225-2520.

What is Roadside Medical, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Roadside Medical, LLC was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.