BORG WARNER - BELLWOOD
NPI 1710510235
Clinic/Center in Bellwood, IL

Active since February 13, 2020CLIA 14D2178219 · Waiver
700 25TH AVE, BELLWOOD, IL 60104(708) 547-2667 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2021, Feb 13, 2020 (2 updates tracked since 2020).

About Borg Warner - Bellwood NPPES

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

BORG WARNER - BELLWOOD (NPI 1710510235) is a healthcare organization registered as a clinic/center in Bellwood, Illinois and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1710510235
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address700 25TH AVEBellwood, IL 60104-1908
Mailing Address700 25th AveBellwood, IL 60104-1908 · (708) 547-2667
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateFebruary 13, 2020
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
NPI 1710510235 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).
700 25TH AVE, Bellwood, IL 60104

Other Names 1

Other NameBorg Warner - Bellwood

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 14D2178219

Evernorth Direct Health, Ll Borg Warner Bellwood · Bellwood, IL
Active · expires Jan 28, 2028
CLIA Number14D2178219
Laboratory TypeOut-Patient
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorKate Lowery
Laboratory Phone(480) 868-0646
Laboratory LocationEvernorth Direct Health, Ll Borg Warner Bellwood700 25th Ave, Bellwood, IL 60104
CLIA data matches this NPI record on: Address 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 Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1710510235. It was assigned to this organization in the NPPES registry on February 13, 2020. The provider is also known as Borg Warner - Bellwood.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 700 25th Ave, Bellwood, IL 60104. The listed phone number is (708) 547-2667.

What is Evernorth Direct Health LLC's specialty?

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

Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2178219) is associated with this NPI, valid through January 28, 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 Evernorth Direct Health LLC was last updated on May 3, 2021. 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.