Glen Ridge Imaging Ltd in Mokena - Clinical Medical Laboratory

Glen Ridge Imaging Ltd - NPI 1538254651

Glen Ridge Imaging Ltd is a Clinical Medical Laboratory in Mokena, Illinois. Glen Ridge Imaging Ltd practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Glen Ridge Imaging Ltd is 1538254651. The last update date is 2020-08-22.

Glen Ridge Imaging Ltd's current location address is 19602 S Lagrange Road, Mokena, Illinois. You can contact this provider via phone number 7084783000 and fax number 7084783007. The mailing address for Glen Ridge Imaging Ltd is 19602 S Lagrange Road, Mokena, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Glen Ridge Imaging Ltd
Address 19602 S Lagrange Road, Mokena, Illinois
Phone Number 7084783000
Fax Number 7084783007
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Nisivoccia John Glen
Credentials D C
Telephone Number 7084783000

NPI Number Detail

NPI Number 1538254651
Provider Enumeration Date 2006-10-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 19602 S Lagrange Road
City Mokena
State Illinois (IL)
Post Code 604489321
Phone Number 7084783000
Fax Number 7084783007

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Definition:
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp

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FAQs about Glen Ridge Imaging Ltd

What is the Glen Ridge Imaging Ltd's unique identification number?

The Glen Ridge Imaging Ltd has been assigned the NPI (National Provider Identifier) Number 1538254651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Glen Ridge Imaging Ltd is physically located?

The Glen Ridge Imaging Ltd is situated at the following address: 19602 S Lagrange Road, Mokena, IL 604489321.

What is Glen Ridge Imaging Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Glen Ridge Imaging Ltd is Clinical Medical Laboratory, and the corresponding taxonomy classification code for this specialized field is 291U00000X.

On what date was the 1538254651 assigned to Glen Ridge Imaging Ltd?

The Glen Ridge Imaging Ltd was issued its 1538254651 on 2006-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Glen Ridge Imaging Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Glen Ridge Imaging Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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