AIRLINE CARE CLINIC PLLC
NPI 1992556427
Nurse Practitioner - Family in East Alton, IL

Active since April 01, 2024CLIA 14D2345056 · Waiver
33 E AIRLINE DR, EAST ALTON, IL 62024(618) 908-8602 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Airline Care Clinic Pllc NPPES

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

AIRLINE CARE CLINIC PLLC (NPI 1992556427) is a healthcare organization registered as a family in East Alton, Illinois and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Elizabeth Dykeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1992556427
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAIRLINE CARE CLINIC PLLC
Location Address33 E AIRLINE DREast Alton, IL 62024-1703
Mailing Address33 E Airline DrEast Alton, IL 62024-1703
Organization SubpartNo
Authorized OfficialElizabeth DykemanOwner · (314) 374-9965
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
NPI 1992556427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
33 E AIRLINE DR, East Alton, IL 62024

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 14D2345056

Airline Care Clinic, PLLC · East Alton, IL
Active · expires Jun 3, 2028
CLIA Number14D2345056
Laboratory TypeIndependent
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorElizabeth S. Dykeman
Laboratory Phone(618) 908-8602
Laboratory LocationAirline Care Clinic, PLLC33 E Airline Dr, East Alton, IL 62024
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

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

Massage Therapist
33 E AIRLINE DR
EAST ALTON, IL 62024

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 Airline Care Clinic PLLC's NPI number?

The NPI number for Airline Care Clinic PLLC is 1992556427. It was assigned to this organization in the NPPES registry on April 1, 2024.

Where is Airline Care Clinic PLLC located?

Airline Care Clinic PLLC is located at 33 E Airline Dr, East Alton, IL 62024. The listed phone number is (618) 908-8602.

What is Airline Care Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Airline Care Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2345056) is associated with this NPI, valid through June 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 Airline Care Clinic PLLC was last updated on April 1, 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.