Organization Active NPI

Dupage County Diagnostics LLC

  • Clinical Medical Laboratory
  • Downers Grove, IL
National Provider Identifier
1093460693
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DUPAGE COUNTY DIAGNOSTICS LLC
Practice address
1315 Butterfield Rd Ste 200
Downers Grove, IL 60515-5602
Phone
(630) 234-9407
Fax
(847) 241-2881
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcela Corrales
Title
President
Phone
(630) 234-9407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1315 Butterfield Rd Ste 200
Downers Grove, IL 60515-5602

Mailing address

1315 Butterfield Rd Ste 200
Downers Grove, IL 60515-5602
Phone (630) 234-9407

National Provider Directory

National Provider Directory

Locations

1315 Butterfield Rd
Ste 200
Downers Grove, IL 60515
Phone (630) 234-9407

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1093460693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 BUTTERFIELD RD STE 200",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155602",
            "telephone_number": "630-234-9407",
            "fax_number": "847-241-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 BUTTERFIELD RD STE 200",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155602",
            "telephone_number": "630-234-9407",
            "fax_number": "847-241-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE COUNTY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "CORRALES",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-234-9407"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.