Active NPI
Valentinas Gruzdys
- Clinical Laboratory Director (Non-physician)
- Itasca, IL
National Provider Identifier
1497515795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- Practice address
- 150 Spring Lake Dr
Itasca, IL 60143-2067 - Phone
- (630) 361-0269
- NPI assigned
- Mar 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | Primary |
Addresses
Primary practice location
150 Spring Lake Dr
Itasca, IL 60143-2067
Mailing address
150 Spring Lake Dr
Itasca, IL 60143-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1497515795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SPRING LAKE DR",
"city": "ITASCA",
"state": "IL",
"postal_code": "601432067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SPRING LAKE DR",
"city": "ITASCA",
"state": "IL",
"postal_code": "601432067",
"telephone_number": "630-361-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUZDYS",
"first_name": "VALENTINAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.