Clear Image Diagnostics Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLEAR IMAGE DIAGNOSTICS INC.

Practice address

5906 N Milwaukee Ave
Chicago, IL 60646-5420

Phone

(773) 774-7300

Fax

(733) 774-7313

NPI assigned

May 11, 2006

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Ansfield

Title

Owner

Phone

(773) 774-7300

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1396795209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465420",
            "telephone_number": "773-774-7300",
            "fax_number": "733-774-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465420",
            "telephone_number": "773-774-7300",
            "fax_number": "733-774-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR IMAGE DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "ANSFIELD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-774-7300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC#",
            "identifier": "01632653",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Clayton II
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• Clear Care L.L.C.
• Clear Choice Transportation, Inc.
• Clear Labs LLC
• Clear Mind Therapy PLLC
• Clear Minds Better Lives PC
• Clear Path Therapy LLC
• Clear Point Testing

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.