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MEDICAL RESOURCE CENTER LTD
NPI 1770507295
General Practice in Loves Park, IL

Active since July 27, 2006CLIA 14D1027352 · Waiver
6550 E RIVERSIDE BLVD, LOVES PARK, IL 61111(815) 633-4100(815) 633-5141 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Medical Resource Center Ltd NPPES

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

MEDICAL RESOURCE CENTER LTD (NPI 1770507295) is a healthcare organization registered as a general practice in Loves Park, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Steven J Disanti, Officer, as its authorized official.

NPPES Registry Identity

NPI1770507295
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL RESOURCE CENTER LTD
Location Address6550 E RIVERSIDE BLVDLoves Park, IL 61111-4424
Mailing Address6550 E Riverside BlvdLoves Park, IL 61111-4424 · (815) 633-4100 · Fax (815) 633-5141
Phone(815) 633-4100
Fax(815) 633-5141
Organization SubpartNo
Authorized OfficialSteven J DisantiOfficer · (815) 633-4100
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1770507295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in IL · 036067911✔ Licensed in IL · 036066772
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036096167 (IL)
6550 E RIVERSIDE BLVD, Loves Park, IL 61111
Open in Google Maps ↗

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 MULTIPLE 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 14D1027352

Medical Resource Center · Loves Park, IL
Active · expires Jun 27, 2028
CLIA Number14D1027352
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorSteven J. Disanti
Laboratory Phone(815) 633-4100
Laboratory LocationMedical Resource Center6550 E Riverside Blvd, Loves Park, IL 61111
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 3

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

PROFESSIONAL MEDICAL STAFFING CORP.
Home Health
6550 E RIVERSIDE BLVD
LOVES PARK, IL 61111
Winnebago County (181) 565-4853
ROCK VALLEY ADVANCED PAIN MANAGEMENT INC.
Nurse Anesthetist, Certified Registered
6550 E RIVERSIDE BLVD
LOVES PARK, IL 61111
Winnebago County (815) 316-1894
ANOINTED HELP MEDICAL SERVICES P.C.
Preferred Provider Organization
6550 E RIVERSIDE BLVD
LOVES PARK, IL 61111
Winnebago County (478) 676-2040

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 Resource Center Ltd's NPI number?

The NPI number for Medical Resource Center Ltd is 1770507295. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Medical Resource Center Ltd located?

Medical Resource Center Ltd is located at 6550 E Riverside Blvd, Loves Park, IL 61111. The listed phone number is (815) 633-4100.

What is Medical Resource Center Ltd's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Medical Resource Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1027352) is associated with this NPI, valid through June 27, 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 Resource Center Ltd was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.