Organization Active NPI

Taag Genetics Corp.

  • Clinical Medical Laboratory
  • Saint Charles, IL
National Provider Identifier
1124623657
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TAAG GENETICS CORP.
Practice address
3710 Illinois Ave Unit a
Saint Charles, IL 60174-2421
Phone
(630) 246-7777
Fax
(630) 946-5555
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Mr. Robert Lee
Title
Manager
Phone
(630) 394-3588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3710 Illinois Ave Unit a
Saint Charles, IL 60174-2421

Mailing address

3710 Illinois Ave Unit a
Saint Charles, IL 60174-2421
Phone (630) 246-7777

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://nplex.taag-genetics.com/algoritmos/nplex Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3710 Illinois Ave
Unit A
Saint Charles, IL 60174
Phone (630) 246-7777

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1124623657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 ILLINOIS AVE UNIT A",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742421",
            "telephone_number": "630-246-7777",
            "fax_number": "630-946-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 ILLINOIS AVE UNIT A",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742421",
            "telephone_number": "630-246-7777",
            "fax_number": "630-946-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAAG GENETICS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-394-3588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://nplex.taag-genetics.com/algoritmos/nplex",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3710 Illinois Ave Unit A",
            "city": "Saint Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601742421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.