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WESTCHESTER DIAGNOSTIC LABORATORY NPI 1750563219


NPI Information

NPI: 1750563219
Provider Name: WESTCHESTER DIAGNOSTIC LABORATORY
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
2225 ENTERPRISE DR
SUITE 2511
WESTCHESTER, IL
ZIP 60154
Phone: (708) 486-0076
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WESTCHESTER DIAGNOSTIC LABORATORY is an anatomic pathology and clinical pathology pathology in Westchester, IL. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. WESTCHESTER DIAGNOSTIC LABORATORY NPI is 1750563219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2225 ENTERPRISE DR
SUITE 2511
WESTCHESTER, IL
ZIP 60154-814
Phone: (708) 486-0076
Fax: (708) 486-0080

The provider's authorized official is George G Moran .
The authorized official title is President and has the following contact phone number (708) 492-0502.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 4/20/2008.


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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1216096MEDICARE PINILLINOIS
2=========OTHERILLINOISEIN

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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