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PARK RIDGE LAB INC NPI 1558635516


NPI Information

NPI: 1558635516
Provider Name: PARK RIDGE LAB INC
Classification: Pathology - 207ZH0000X
Entity Type: Organization

Specialization: Hematology

Address:
950 N NORTHWEST HWY STE 102
PARK RIDGE, IL
ZIP 60068
Phone: (847) 696-9900
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PARK RIDGE LAB INC is a hematology pathology in Park Ridge, IL. The provider is a hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. PARK RIDGE LAB INC NPI is 1558635516. The provider is registered as an organization entity type.

The provider's business location address is:

950 N NORTHWEST HWY STE 102
PARK RIDGE, IL
ZIP 60068-349
Phone: (847) 696-9900
Fax: (630) 952-1447

The provider's authorized official is Sam Speron .
The authorized official title is President and has the following contact phone number (847) 696-9900.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 3/7/2012.


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
1291U00000XClinical Medical LaboratoryNo
2207ZH0000XPathologyHematologyYes

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

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