STAT TBI AND CONCUSSION DIAGNOSTICS NPI 1467222844

NPI Information

NPI: 1467222844
Provider Name: STAT TBI AND CONCUSSION DIAGNOSTICS
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Organization
Address:
1100 LAKE ST STE LL56
OAK PARK, IL
ZIP 60301
Phone: (800) 767-8903
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STAT TBI AND CONCUSSION DIAGNOSTICS is a specialist technologist other in Oak Park, IL. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. STAT TBI AND CONCUSSION DIAGNOSTICS NPI is 1467222844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 LAKE ST STE LL56
OAK PARK, IL
ZIP 60301-034
Phone: (800) 767-8903
Fax: (888) 221-4798

The provider's authorized official is Darnell Randall .
The authorized official title is Ceo and has the following contact phone number (678) 372-3765.

The enumeration date for this NPI number is 1/5/2024 and was last updated on 1/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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