STERLING CBOC (3859)    INSTITUTION (4)

Name Value
NAME STERLING CBOC
STATE ILLINOIS
STREET ADDR. 1 2901 E LINCOLNWAY STE M
CITY STERLING
ZIP 61081-1780
OFFICIAL VA NAME STERLING CBOC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME STERLING VA CLINIC
EFFECTIVE DATE/TIME
  • 2011-12-05 00:00:00
    STATUS:   ACTIVE
    NPI:   1851660724
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 636GT
IDENTIFIER
  • CODING SYSTEM:   CLIA
    ID:   14D2031059