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DOCTOR'S DATA INC. NPI 1750362224


NPI Information

NPI: 1750362224
Provider Name: DOCTOR'S DATA, INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 14D0646470

Address:
3755 ILLINOIS AVE
ST CHARLES, IL
ZIP 60174
Phone: (630) 377-8139
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DOCTOR'S DATA, INC. is a clinical medical laboratory in St Charles, IL. The provider is (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. DOCTOR'S DATA, INC. NPI is 1750362224. The provider is registered as an organization entity type.

The provider's business location address is:

3755 ILLINOIS AVE
ST CHARLES, IL
ZIP 60174-420
Phone: (630) 377-8139
Fax: (630) 587-7860

The provider's authorized official is Darrell S Hickok .
The authorized official title is Chief Executive Officer and has the following contact phone number (630) 377-8139.

The CLIA number assigned to this NPI record is 14D0646470 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 3/30/2015.


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 Laboratory14D0646470ILLINOISYes

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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