Organization Active NPI

Y.S. Diagnostic Ultrasound, Inc

  • Clinical Medical Laboratory
  • Skokie, IL
National Provider Identifier
1467642322
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
Y.S. DIAGNOSTIC ULTRASOUND, INC
Practice address
8536 Crawford Ave
Skokie, IL 60076-2124
Phone
(847) 877-2311
NPI assigned
Jul 27, 2007
Last updated
Jul 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Yuriy Smirnov
Title
Owner
Phone
(847) 877-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

8536 Crawford Ave
Skokie, IL 60076-2124

Mailing address

8536 Crawford Ave
Skokie, IL 60076-2124
Phone (847) 877-2311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1467642322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 CRAWFORD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762124",
            "telephone_number": "847-877-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 CRAWFORD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762124",
            "telephone_number": "847-877-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y.S. DIAGNOSTIC ULTRASOUND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SMIRNOV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-877-2311"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.