Quality Covid Control

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUALITY COVID CONTROL

Practice address

4976 Hononegah Rd
Roscoe, IL 61073-7778

Phone

(312) 623-7014

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Maciej Kosiarski

Title

President

Phone

(224) 595-8901

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1710632765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 HONONEGAH RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737778",
            "telephone_number": "312-623-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 HONONEGAH RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737778",
            "telephone_number": "312-623-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY COVID CONTROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "KOSIARSKI",
        "authorized_official_first_name": "MACIEJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-595-8901"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Roscoe, IL
• Providers in Roscoe, 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 Feb 18, 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.