Justice Med-Lab in Justice - Diagnostic Radiology
Justice Med-Lab - NPI 1184777823
Justice Med-Lab is a Diagnostic Radiology in Justice, Illinois. Justice Med-Lab practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Justice Med-Lab is 1184777823. The last update date is 2008-09-30.
Justice Med-Lab's current location address is 9050 W 81st St, Justice, Illinois. You can contact this provider via phone number 7085943500 and fax number 7085630916. The mailing address for Justice Med-Lab is 9050 W 81st St, Justice, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Justice Med-Lab |
|---|---|
| Address | 9050 W 81st St, Justice, Illinois |
| Phone Number | 7085943500 |
| Fax Number | 7085630916 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Christou Theodore |
| Credentials | M.D. |
| Telephone Number | 7085630330 |
NPI Number Detail
| NPI Number | 1184777823 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2008-09-30 |
Provider Mailing Address Detail
| Address | 9050 W 81st St |
|---|---|
| City | Justice |
| State | Illinois (IL) |
| Post Code | 604581350 |
| Phone Number | 7085943500 |
| Fax Number | 7085630916 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1629954 | IL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Justice Med-Lab?
The Justice Med-Lab has been issued the NPI (National Provider Identifier) 1184777823 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Justice Med-Lab?
The Justice Med-Lab is situated at 9050 W 81St St, in the city of Justice, state of IL, with the zip code 604581350.
What is Justice Med-Lab's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Justice Med-Lab is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184777823 to Justice Med-Lab?
The Justice Med-Lab received its 1184777823 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
When was the information related to Justice Med-Lab most recently updated or refreshed?
The details pertaining to the Justice Med-Lab, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-30.