Hansen Lab Service Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

14D2099042 Issued in IL

Legal business name

HANSEN LAB SERVICE INC

Practice address

541 Spruce Rd
Bolingbrook, IL 60440-2504

Phone

(630) 750-7378

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Donald W HansenNPI 1720452709

Title

President

Phone

(630) 750-7378

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Hansen, OWNER

  • Clinical Medical Laboratory
  • Bolingbrook, IL
  • NPI 1720452709
  NPD (past) Authorized official
• Donald Joseph Hansen, AMCA-4709

  • Clinical Laboratory Director (Non-physician)
  • Bolingbrook, IL
  • NPI 1184100984
  NPD (past)
• Jessie Hansen

  • Specialist
  • Bolingbrook, IL
  • NPI 1992179972
  NPD (past)

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1205259231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SPRUCE RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402504",
            "telephone_number": "630-750-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SPRUCE RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402504",
            "telephone_number": "630-750-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN LAB SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-750-7378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D2099042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guenet Haile, PHARM D
• Hair Empire Beauty Supply
• Natalie Haitsma
• Half Moon Holistic Clinic, LLC
• Amy Michelle Hanna, SPEECH/LANGUAGE PATH
• Donald Hansen, OWNER
• Donald Joseph Hansen, AMCA-4709
• Jessie Hansen
• Abigail Marie Happ
• Bianca Harenberg, LCSW

• Clinical Medical Laboratory in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.