Organization Active NPI

Bullseye Testing, LLC

  • Point of Service
  • Chicago, IL
National Provider Identifier
1679234512
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
BULLSEYE TESTING, LLC
Practice address
6048 S Ashland Ave
Chicago, IL 60636-2304
Phone
(708) 250-0013
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Jeffrey Stokes
Title
Manager
Phone
(708) 250-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

6048 S Ashland Ave
Chicago, IL 60636-2304

Mailing address

900 Ridge Rd Ste 1N
Homewood, IL 60430-1934
Phone (708) 250-0013

National Provider Directory

National Provider Directory

Locations

900 Ridge Rd
Ste 1N
Homewood, IL 60430

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1679234512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD STE 1N",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301934",
            "telephone_number": "708-250-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6048 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362304",
            "telephone_number": "708-250-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLSEYE TESTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-250-0013"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.