Active NPI
Itxm Clinical Services
- Clinical Medical Laboratory
- Glenview, IL
National Provider Identifier
1306153416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 14D0966824
- Legal business name
- ITXM CLINICAL SERVICES
- Practice address
- 1205 Milwaukee Ave
Glenview, IL 60025-2425 - Phone
- (847) 834-1805
- NPI assigned
- Sep 10, 2010
- 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
- Victor Belov
- Title
- Manager
- Phone
- (847) 834-1805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 14D0966824 | IL | Primary |
Addresses
Primary practice location
1205 Milwaukee Ave
Glenview, IL 60025-2425
Mailing address
2658 Griffith Park Blvd
Ste 125
Los Angeles, CA 90039-2520
National Provider Directory
National Provider Directory- Tax ID family
- Itxm Clinical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- McKeesport, PA
- NPI 1467769679
Locations
1205 Milwaukee Ave
Glenview, IL 60025
Phone (847) 834-1805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284076800000",
"number": "1306153416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2658 GRIFFITH PARK BLVD",
"address_2": "STE 125",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 MILWAUKEE AVE",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252425",
"telephone_number": "847-834-1805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ITXM CLINICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-10",
"last_updated": "2010-09-10",
"status": "A",
"authorized_official_last_name": "BELOV",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-834-1805"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IL",
"license": "14D0966824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.