Organization Active NPI

Kodo Care, Inc.

  • Clinical Medical Laboratory
  • Joliet, IL
National Provider Identifier
1255048823
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KODO CARE, INC.
Practice address
2401 W Jefferson St Ste 100
Joliet, IL 60435-7830
Phone
(815) 727-4722
Fax
(815) 727-4731
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Steven Quigley, C.PHT.
Title
Billing
Phone
(815) 727-4722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2401 W Jefferson St Ste 100
Joliet, IL 60435-7830

Mailing address

2401 W Jefferson St Ste 100
Joliet, IL 60435-7830
Phone (815) 727-4722

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2184989Kodo Care2401 W Jefferson St, Joliet, IL 60435Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Kodo Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2401 W Jefferson St
Ste 100
Joliet, IL 60435
Phone (815) 727-4722

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1255048823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W JEFFERSON ST STE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604357830",
            "telephone_number": "815-727-4722",
            "fax_number": "815-727-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W JEFFERSON ST STE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604357830",
            "telephone_number": "815-727-4722",
            "fax_number": "815-727-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KODO CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "815-727-4722",
        "authorized_official_credential": "C.PHT."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.