Snap Laboratories International, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

WR000335 Issued in IL

Legal business name

SNAP LABORATORIES INTERNATIONAL, LLC

Practice address

5210 Capitol Dr
Wheeling, IL 60090-7901

Phone

(847) 777-0000

Fax

(847) 465-3404

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gil Raviv, PH.D.

Title

President

Phone

(847) 777-0000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558440768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 CAPITOL DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600907901",
            "telephone_number": "847-777-0000",
            "fax_number": "847-465-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 CAPITOL DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600907901",
            "telephone_number": "847-777-0000",
            "fax_number": "847-465-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAP LABORATORIES INTERNATIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAVIV",
        "authorized_official_first_name": "GIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-777-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "IL",
            "license": "WR000335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Physiological Laboratory in Illinois

• 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.