Delta Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DELTA DIAGNOSTICS INC

Practice address

111 Dolores Dr Apt 10
Bensenville, IL 60106-3439

Phone

(773) 732-0517

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Shaik Azmathulla

Title

President

Phone

(773) 732-0517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1609538313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOLORES DR APT 10",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063439",
            "telephone_number": "773-732-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOLORES DR APT 10",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063439",
            "telephone_number": "773-732-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "AZMATHULLA",
        "authorized_official_first_name": "SHAIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-732-0517"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Crisanto
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• Clinical Medical Laboratory in Bensenville, IL
• Providers in Bensenville, 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 Oct 11, 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.