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Contact Information

MIDWEST DIAGNOSTICS INC
3330 W 177TH ST
SUITE 2C
HAZEL CREST, IL60429-2184
 Phone: 170-879-9114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for MIDWEST DIAGNOSTICS INC

NPI Number 1932386760
LBN Legal business name MIDWEST DIAGNOSTICS INC
Authorized official SANDIE NAPIENTEK - (PAYER CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2008
Last updated 05/21/2009 - About 17 years ago
Identifiers
IL License # 036074003
IL Other 01638865 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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