Aurora Life Sciences, LLC

Key facts

NPI

1104294313

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Medical Laboratory 291U00000X

Legal business name

AURORA LIFE SCIENCES, LLC

Practice address

6019 Fincham Dr
Rockford, IL 61108-2550

Phone

(815) 713-1829

NPI assigned

Sep 3, 2015

Organization subpart

No

Authorized official

Name

Dan Nagle

Title

President

Phone

(815) 713-1829

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 3, 2015.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1104294313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 FINCHAM DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 FINCHAM DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082550",
            "telephone_number": "815-713-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA LIFE SCIENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-713-1829"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Rockford, IL · Clinical Medical Laboratory in Illinois