Active NPI
Flex Experimental, Inc.
- Clinical Medical Laboratory
- Chicago, IL
National Provider Identifier
1164797106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 14D2035395
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.