MARKET STREET MEDICAL, LLC
NPI 1831596733
Clinic/Center in Olney, IL

Active since November 21, 2014CLIA 14D2089488 · Microscopy
117 E MARKET ST, OLNEY, IL 62450(618) 392-1301 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Market Street Medical, Llc NPPES

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

MARKET STREET MEDICAL, LLC (NPI 1831596733) is a healthcare organization registered as a clinic/center in Olney, Illinois and active in the NPI registry since November 2014. The organization holds a CLIA Microscopy certificate valid through December 30, 2026 and lists Kelly S. Eyer, Member, as its authorized official.

NPPES Registry Identity

NPI1831596733
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARKET STREET MEDICAL, LLC
Location Address117 E MARKET STOlney, IL 62450-2241
Mailing Address117 E Market StOlney, IL 62450-2241
Organization SubpartNo
Authorized OfficialKelly S. EyerMember · (618) 392-2395
Enumeration DateNovember 21, 2014
NPI 1831596733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · 209012101
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).
117 E MARKET ST, Olney, IL 62450

Accepted Insurance

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) 14D2089488

Market Street Medical LLC · Olney, IL
Active · expires Dec 30, 2026
CLIA Number14D2089488
Laboratory TypePractitioner Other
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorKelly S. Eyer Fnp-Bc
Laboratory Phone(618) 392-1301
Laboratory LocationMarket Street Medical LLC117 E Market St, Olney, IL 62450
CLIA data matches this NPI record on: Address 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

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

Nurse Practitioner (Family)
117 E MARKET ST
OLNEY, IL 62450

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 Market Street Medical, LLC's NPI number?

The NPI number for Market Street Medical, LLC is 1831596733. It was assigned to this organization in the NPPES registry on November 21, 2014.

Where is Market Street Medical, LLC located?

Market Street Medical, LLC is located at 117 E Market St, Olney, IL 62450. The listed phone number is (618) 392-1301.

What is Market Street Medical, LLC's specialty?

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

Does Market Street Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2089488) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Market Street Medical, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Market Street Medical, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Market Street Medical, LLC was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.