Active NPI
Taag Genetics Corp.
- Clinical Medical Laboratory
- West Chicago, IL
National Provider Identifier
1366166290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- TAAG GENETICS CORP.
- Practice address
- 200 W North Ave Ste 700
West Chicago, IL 60185-6242 - Phone
- (630) 912-5988
- Fax
- (630) 946-5555
- NPI assigned
- Oct 4, 2022
- Organization subpart
- Yes
- Parent organization
- TAAG GENETICS CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Lee
- Title
- Lab Director
- Phone
- (630) 394-3588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
200 W North Ave Ste 700
West Chicago, IL 60185-6242
Mailing address
200 W North Ave Ste 700
West Chicago, IL 60185-6242
Phone (630) 912-5988
National Provider Directory
National Provider Directory- Part of
- Taag Genetics Corp
Locations
3710 Illinois Ave
Saint Charles, IL 60174
Phone (630) 394-3588
200 W North Ave
Ste 700
West Chicago, IL 60185
Phone (630) 394-3588
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Medical Laboratory
- Saint Charles, IL
- NPI 1124623657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1366166290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W NORTH AVE STE 700",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601856242",
"telephone_number": "630-912-5988",
"fax_number": "630-946-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W NORTH AVE STE 700",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601856242",
"telephone_number": "630-912-5988",
"fax_number": "630-946-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAAG GENETICS CORP.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TAAG GENETICS CORP.",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "LAB DIRECTOR",
"authorized_official_telephone_number": "630-394-3588"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.