Organization Active NPI

C & G Diagnostics LTD

  • Clinical Medical Laboratory
  • Westmont, IL
National Provider Identifier
1649660366
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
C & G DIAGNOSTICS LTD
Practice address
770 Pasquinelli Dr
Ste 418
Westmont, IL 60559-5566
Phone
(773) 767-2266
Fax
(773) 767-4380
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Jorge A Cavero, MDNPI 1093703209
Title
President
Phone
(773) 767-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

770 Pasquinelli Dr
Ste 418
Westmont, IL 60559-5566

Mailing address

4007 W 63Rd St
Chicago, IL 60629-4605
Phone (773) 767-2266

Other names 1

  • QUALLITY OF LIFE DIAGNOSTICS Doing business as

National Provider Directory

National Provider Directory

Locations

770 Pasquinelli Dr
Ste 418
Westmont, IL 60559
Phone (312) 493-2525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1649660366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294605",
            "telephone_number": "773-767-2266",
            "fax_number": "773-767-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PASQUINELLI DR",
            "address_2": "STE 418",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595566",
            "telephone_number": "773-767-2266",
            "fax_number": "773-767-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & G DIAGNOSTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "CAVERO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-767-2266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALLITY OF LIFE DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.