Organization Active NPI

Itxm Clinical Services

  • Clinical Medical Laboratory
  • Glenview, IL
National Provider Identifier
1306153416
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D0966824 Issued in IL
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

Updated by the provider on Sep 10, 2010

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)CodeLicenseStatePrimary
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 Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.