Organization Active NPI

Flex Experimental, Inc.

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1164797106
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D2035395 Issued in IL
Legal business name
FLEX EXPERIMENTAL, INC.
Practice address
2147 W Belmont Ave
Chicago, IL 60618-6446
Phone
(847) 343-5959
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Mr. Lenny Goldfarb
Title
Vice President
Phone
(847) 343-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14D2035395 IL Primary

Addresses

Primary practice location

2147 W Belmont Ave
Chicago, IL 60618-6446

Mailing address

1976 Raymond Dr
Northbrook, IL 60062-6715

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1164797106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 RAYMOND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186446",
            "telephone_number": "847-343-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEX EXPERIMENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "LENNY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-343-5959",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D2035395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.