Organization Active NPI

Goat Mass Swabs Inc

  • Clinical Medical Laboratory
  • Aurora, IL
National Provider Identifier
1174266787
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GOAT MASS SWABS INC
Practice address
201 W Galena Blvd
Aurora, IL 60506-4025
Phone
(630) 863-8246
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Fnu Mir Mouzam Ali Salman
Title
Authorized Official
Phone
(630) 863-8246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

201 W Galena Blvd
Aurora, IL 60506-4025

Mailing address

201 W Galena Blvd
Aurora, IL 60506-4025
Phone (630) 863-8246

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.goatmassswabsinc.com

National Provider Directory

National Provider Directory

Locations

201 W Galena Blvd
Aurora, IL 60506
Phone (630) 863-8246

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1174266787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064025",
            "telephone_number": "630-863-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064025",
            "telephone_number": "630-863-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAT MASS SWABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "FNU",
        "authorized_official_middle_name": "MIR MOUZAM ALI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "630-863-8246"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.goatmassswabsinc.com",
            "affiliation": "N",
            "address_1": "870 Foxworth Blvd Apt 113",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601486436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.