Organization Active NPI

Diagnostics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Oak Forest, IL
National Provider Identifier
1427000355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIAGNOSTICS, INC
Practice address
17047 Thackery St
Oak Forest, IL 60452-4453
Phone
(708) 560-7316
Fax
(708) 560-7346
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Drew Edward Roskos, R.R.T.
Title
Owner/President
Phone
(708) 560-7316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

17047 Thackery St
Oak Forest, IL 60452-4453

Mailing address

17047 Thackery St
Oak Forest, IL 60452-4453
Phone (708) 560-7316

Other identifiers 1

IdentifierTypeStateIssuer
1670467OtherILBLUE CROSS/BLUE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427000355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17047 THACKERY ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524453",
            "telephone_number": "708-560-7316",
            "fax_number": "708-560-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17047 THACKERY ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524453",
            "telephone_number": "708-560-7316",
            "fax_number": "708-560-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSKOS",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "708-560-7316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.R.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE",
            "identifier": "1670467",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.