Meditech Clinical Services, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDITECH CLINICAL SERVICES, INC.

Practice address

915 Busse Rd
Elk Grove Village, IL 60007-2400

Phone

(224) 209-2866

Fax

(224) 209-2866

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Amy Pacis

Title

President

Phone

(708) 408-2258

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1154097459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BUSSE RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072400",
            "telephone_number": "224-209-2866",
            "fax_number": "224-209-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BUSSE RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072400",
            "telephone_number": "224-209-2866",
            "fax_number": "224-209-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITECH CLINICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "PACIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-408-2258"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James McShane, DMD
• William James McSweeney Jr., D,D,S,
• Me and My Doctor, LTD
• Medical Care Partners LLC
• Medical Shipment, LLC
• Medlab Inc
• Eldon Harker Meeks, D.C.
• Anurag Mehrotra, M.D.
• Zachary J Meier, ATC
• Phyllis Linda Melnick, B.A.

• Clinical Medical Laboratory in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.