NPI Details
TBF DIAGNOSTIC INC is a clinical medical laboratory in Evanston, 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. TBF DIAGNOSTIC INC NPI is 1083375893. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tbf Diagnostic Inc.
The provider's business location address is:
2916 CENTRAL ST # 2A
EVANSTON, IL
ZIP 60201-212
Phone: (224) 999-7624
Fax: (847) 589-5944
The provider's authorized official is Takala Fomond .
The authorized official title is Owner and has the following contact phone number (224) 420-6894.
The CLIA number assigned to this NPI record is 14D2248650 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/4/2022 and was last updated on 4/27/2022.
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 | 164W00000X | Licensed Practical Nurse | | | | No |
| 2 | 261Q00000X | Clinic/Center | | | | No |
| 3 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
