Comprehensive Hemostasis And Thrombosis Institute in Peoria - Clinical Medical Laboratory
Comprehensive Hemostasis And Thrombosis Institute - NPI 1194711234
Comprehensive Hemostasis And Thrombosis Institute is a Clinical Medical Laboratory in Peoria, Illinois. Comprehensive Hemostasis And Thrombosis Institute practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Comprehensive Hemostasis And Thrombosis Institute is 1194711234. The last update date is 2008-08-08.
Comprehensive Hemostasis And Thrombosis Institute's current location address is 4727 N Sheridan Rd, Peoria, Illinois. You can contact this provider via phone number 3096881345 and fax number 3096880917. The mailing address for Comprehensive Hemostasis And Thrombosis Institute is 4727 N Sheridan Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Hemostasis And Thrombosis Institute |
|---|---|
| Address | 4727 N Sheridan Rd, Peoria, Illinois |
| Phone Number | 3096881345 |
| Fax Number | 3096880917 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Davis L Mary |
| Telephone Number | 3096881345 |
NPI Number Detail
| NPI Number | 1194711234 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2008-08-08 |
Provider Mailing Address Detail
| Address | 4727 N Sheridan Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145925 |
| Phone Number | 3096881345 |
| Fax Number | 3096880917 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 14D0982678 C |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00115815 | RAILROAD MEDICARE | ||
| 7230099 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the Comprehensive Hemostasis And Thrombosis Institute's 1194711234?
The Comprehensive Hemostasis And Thrombosis Institute's NPI (National Provider Identifier) Number is 1194711234. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Comprehensive Hemostasis And Thrombosis Institute located?
The Comprehensive Hemostasis And Thrombosis Institute is located at 4727 N Sheridan Rd, Peoria, IL 616145925.
Could you please provide the complete physical location address of Comprehensive Hemostasis And Thrombosis Institute?
The Comprehensive Hemostasis And Thrombosis Institute is physically situated at 4727 N Sheridan Rd, in the city of Peoria, state of IL, with the postal code 616145925.
When was the Comprehensive Hemostasis And Thrombosis Institute's 1194711234 issued?
The Comprehensive Hemostasis And Thrombosis Institute's 1194711234 was issued on 2005-09-23.
When was the information pertaining to Comprehensive Hemostasis And Thrombosis Institute most recently updated or revised?
The details related to Comprehensive Hemostasis And Thrombosis Institute, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-08.