Active NPI
Tzam Diagnostics LLC
- Clinical Medical Laboratory
- Northbrook, IL
National Provider Identifier
1285887372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 14D1039167
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL1662 | Other | IL | MEDICARE PTAN |
| 01629156 | Other | IL | BCBS PROVIDER # |
Other names 1
- TZAM Clinical Laboratory
National Provider Directory
National Provider DirectoryLocations
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.