Organization Active NPI

TFM Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lake Forest, IL
National Provider Identifier
1174927016
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
336.075460 Issued in IL
Legal business name
TFM SERVICES, LLC
Practice address
27885 Irma Lee Cir Ste 105
Lake Forest, IL 60045-5129
Phone
(847) 302-8176
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Dr. Thomas F Mientus
Title
President
Phone
(847) 302-8176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 336.075460 IL Primary

Addresses

Primary practice location

27885 Irma Lee Cir Ste 105
Lake Forest, IL 60045-5129

Mailing address

1175 Anderson Dr
Green Oaks, IL 60048
Phone (847) 302-8176

Other names 1

  • M Lab Pathology Doing business as

National Provider Directory

National Provider Directory

Locations

27885 Irma Lee Cir
Ste 105
Lake Forest, IL 60045
Phone (847) 302-8176

14052 W Petronella Dr
Ste 102
Libertyville, IL 60048
Phone (847) 302-8176

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1174927016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 ANDERSON DR",
            "city": "GREEN OAKS",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-302-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27885 IRMA LEE CIR STE 105",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600455129",
            "telephone_number": "847-302-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TFM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "MIENTUS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-302-8176",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "336.075460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Lab Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.