CRAIN DIAGNOSTICS PLLC NPI 1740952217

NPI Information

NPI: 1740952217
Provider Name: CRAIN DIAGNOSTICS PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 14D2192146

Address:
17066 S PARK AVE
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 882-0532
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CRAIN DIAGNOSTICS PLLC is a health service clinic center in South Holland, IL. CRAIN DIAGNOSTICS PLLC NPI is 1740952217. The provider is registered as an organization entity type.

The provider's business location address is:

17066 S PARK AVE
SOUTH HOLLAND, IL
ZIP 60473-369
Phone: (708) 882-0532
Fax: (647) 799-2792

The provider's authorized official is Sandre Leona Crain .
The authorized official title is Ceo and has the following contact phone number (170) 888-2053.

The CLIA number assigned to this NPI record is 14D2192146 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.

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	261QH0100X	Clinic/Center	Health Service			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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