Crescent Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CRESCENT LABS INC

Practice address

201 E Army Trail Rd Ste 202
Bloomingdale, IL 60108-2103

Phone

(312) 487-9787

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By 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

Thejeswar Prasad Oleti

Title

President

Phone

(312) 487-9787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1558942326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ARMY TRAIL RD STE 202",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082103",
            "telephone_number": "312-487-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ARMY TRAIL RD STE 202",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082103",
            "telephone_number": "312-487-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "OLETI",
        "authorized_official_first_name": "THEJESWAR",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-487-9787"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Dupage Department of Health (DuPage County Health Department - Bloomingdale Group Home (BGH))
• Courage and Clarity Therapy (CAC Therapy)
• Stephanie Coutts
• Meghan Catherine Cox-Pedota, D.O.
• Sharon Lorene Cox, COTAL
• Anna Macdowell Crump, LCSW
• Vanja Cuk, MD
• Jason W Cullen, D.O.
• Carla Jeanne Curtis, MS, CADC
• Margaret V Czajewski, D.D.S.

• Clinical Medical Laboratory in Bloomingdale, IL
• Providers in Bloomingdale, 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 Apr 14, 2021; 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.