National Provider Identifier Database

ENVISION DIAGNOSTICS INC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

ENVISION DIAGNOSTICS INC
3000 DUNDEE RD.
SUITE 311
NORTHBROOK, IL60062
Phone: 224-235-4821
Fax: 847-383-6976
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Radiology, Mobile 261QR0208X

* Indicates primary specialty

NPI Profile & details for ENVISION DIAGNOSTICS INC

NPI Number 1710016290
Legal business name
LBN
ENVISION DIAGNOSTICS INC
Authorized official OLGA GREEN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/02/2007
Last updated 02/10/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 036074107
  • IL License #: 036087491
  • IL License #: 036099445
  • IL License #: 036105010
  • IL License #: 036108313
  • IL License #: 036110490
  • IL License #: 036120986
  • IL License #: 036126885
  • IL Medicaid: 1710016290
  • IL Other: 2233357 BCBS
  • IL Other: 473809353310 HUMANA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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