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MEDICAL ARTS CLINIC LTD
NPI 1528035821
Family Medicine in Murphysboro, IL

Active since March 06, 2006CLIA 14D0436728 · Waiver
19 E SHAWNEE DR, MURPHYSBORO, IL 62966(618) 684-2172(618) 687-4480 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Arts Clinic Ltd NPPES

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

MEDICAL ARTS CLINIC LTD (NPI 1528035821) is a healthcare organization registered as a family medicine in Murphysboro, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Dale W Blaise, President, as its authorized official.

NPPES Registry Identity

NPI1528035821
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL ARTS CLINIC LTD
Location Address19 E SHAWNEE DRMurphysboro, IL 62966-7049
Mailing Address19 E Shawnee DrMurphysboro, IL 62966-7049 · (618) 684-2172 · Fax (618) 687-4480
Phone(618) 684-2172
Fax(618) 687-4480
Organization SubpartNo
Authorized OfficialDale W BlaisePresident · (618) 684-2172
Enumeration DateMarch 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528035821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19 E SHAWNEE DR, Murphysboro, IL 62966
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 14D0436728

Medical Arts Clinic · Murphysboro, IL
Active · expires Mar 3, 2028
CLIA Number14D0436728
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorEmily Hanson
Laboratory Phone(618) 684-2172
Laboratory LocationMedical Arts Clinic19 East Shawnee Drive, Murphysboro, IL 62966
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 2

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

MICHAEL L TREECE, MD, SC
Internal Medicine (Cardiovascular Disease)
19 E SHAWNEE DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-3342
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Clinic/Center (Rural Health)
19 E SHAWNEE DR, SUITE 2
MURPHYSBORO, IL 62966
Jackson County (618) 684-2172

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 Medical Arts Clinic Ltd's NPI number?

The NPI number for Medical Arts Clinic Ltd is 1528035821. It was assigned to this organization in the NPPES registry on March 6, 2006.

Where is Medical Arts Clinic Ltd located?

Medical Arts Clinic Ltd is located at 19 E Shawnee Dr, Murphysboro, IL 62966. The listed phone number is (618) 684-2172.

What is Medical Arts Clinic Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Medical Arts Clinic Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0436728) is associated with this NPI, valid through March 3, 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 Medical Arts Clinic Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.