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MOUNT VERNON MEDICAL ENTERPRISES INC
NPI 1548877947
Family Medicine in Mount Vernon, IL

Active since September 29, 2020CLIA 14D0436267 · Microscopy
4230 LINCOLNSHIRE DR STE G, MOUNT VERNON, IL 62864(618) 244-6770(618) 244-6772 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mount Vernon Medical Enterprises Inc NPPES

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

MOUNT VERNON MEDICAL ENTERPRISES INC (NPI 1548877947) is a healthcare organization registered as a family medicine in Mount Vernon, Illinois and active in the NPI registry since September 2020. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Suzanne Alt, President, as its authorized official.

NPPES Registry Identity

NPI1548877947
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNT VERNON MEDICAL ENTERPRISES INC
Location Address4230 LINCOLNSHIRE DR STE GMount Vernon, IL 62864-2189
Mailing Address4230 Lincolnshire Dr Ste GMount Vernon, IL 62864-2189 · (618) 244-6770 · Fax (618) 244-6772
Phone(618) 244-6770
Fax(618) 244-6772
Organization SubpartNo
Authorized OfficialSuzanne AltPresident · (660) 341-3877
Enumeration DateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1548877947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
4230 LINCOLNSHIRE DR STE G, Mount Vernon, IL 62864
Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 for Provider-Performed Microscopy Procedures (PPMP) 14D0436267

Mount Vernon Medical Enterprises · Mount Vernon, IL
Active · expires Aug 31, 2026
CLIA Number14D0436267
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSuzanne E. Alt
Laboratory Phone(618) 244-6770
Laboratory LocationMount Vernon Medical Enterprises4230 Lincolnshire Ave - Ste G, Mount Vernon, IL 62864
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

LINDEN R PEARSON M.D.
Family Medicine
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6770
MT VERNON FAMILY PRACTICE PC
Family Medicine
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6770
DR. SUZANNE E ALT DO
Family Medicine
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6770

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 Mount Vernon Medical Enterprises Inc's NPI number?

The NPI number for Mount Vernon Medical Enterprises Inc is 1548877947. It was assigned to this organization in the NPPES registry on September 29, 2020.

Where is Mount Vernon Medical Enterprises Inc located?

Mount Vernon Medical Enterprises Inc is located at 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864. The listed phone number is (618) 244-6770.

What is Mount Vernon Medical Enterprises Inc's specialty?

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

Does Mount Vernon Medical Enterprises Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0436267) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mount Vernon Medical Enterprises Inc was last updated on September 29, 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.