Organization Active NPI

Tzam Diagnostics LLC

  • Clinical Medical Laboratory
  • Northbrook, IL
National Provider Identifier
1285887372
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D1039167 Issued in IL
Legal business name
TZAM DIAGNOSTICS LLC
Practice address
1880 Holste Rd
Northbrook, IL 60062-7716
Phone
(847) 256-3238
Fax
(847) 256-3239
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Hongjun Zhang
Title
Vice President
Phone
(847) 256-3238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14D1039167 IL Primary

Addresses

Primary practice location

1880 Holste Rd
Northbrook, IL 60062-7716

Mailing address

1880 Holste Rd
Northbrook, IL 60062-7716
Phone (847) 256-3238

Other identifiers 2

IdentifierTypeStateIssuer
IL1662OtherILMEDICARE PTAN
01629156OtherILBCBS PROVIDER #

Other names 1

  • TZAM Clinical Laboratory Other name

National Provider Directory

National Provider Directory

Locations

1880 Holste Rd
Northbrook, IL 60062
Phone (224) 639-1921

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1285887372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 HOLSTE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627716",
            "telephone_number": "847-256-3238",
            "fax_number": "847-256-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 HOLSTE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627716",
            "telephone_number": "847-256-3238",
            "fax_number": "847-256-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TZAM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "HONGJUN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-256-3238"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D1039167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL1662",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "01629156",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TZAM Clinical Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.