Organization Active NPI

Taag Genetics Corp.

  • Clinical Medical Laboratory
  • West Chicago, IL
National Provider Identifier
1366166290
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.