NPIMap

Organization Active NPI

Ken Gray Company Inc.

  • Anesthesiologist Assistant
  • Bolingbrook, IL
National Provider Identifier
1184081374
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Legal business name
KEN GRAY COMPANY INC.
Practice address
451 Mallview LN
Bolingbrook, IL 60440-2974
Phone
(630) 914-5065
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
KEN GRAY COMPANY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Kenneth Gray Sr.NPI 1427486778
Title
President/ Clinical Director
Phone
(630) 914-5065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X IL Primary
Medical Laboratory Technician 246RM2200X IL
Phlebotomy Technician 246RP1900X IL
Clinical Laboratory Director (Non-physician) 247ZC0005X IL

Addresses

Primary practice location

451 Mallview LN
Bolingbrook, IL 60440-2974

Mailing address

451 Mallview LN
Bolingbrook, IL 60440-2974
Phone (630) 914-5065

Other names 1

  • GRAY FORENSIC TOXICOLOGY TESTING LABS Other name

National Provider Directory

National Provider Directory
Tax ID family
Ken Gray Company Inc2 organizations share this tax ID, including this one
Part of
Ken Gray Company Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1184081374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 MALLVIEW LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402974",
            "telephone_number": "630-914-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 MALLVIEW LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402974",
            "telephone_number": "630-914-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN GRAY COMPANY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEN GRAY COMPANY INC.",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "630-914-5065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAY FORENSIC TOXICOLOGY TESTING LABS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.