Organization Active NPI

New Century Diagnostics, Inc.

  • Clinical Medical Laboratory
  • Buffalo Grove, IL
National Provider Identifier
1720158157
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D0993872 Issued in IL
Legal business name
NEW CENTURY DIAGNOSTICS, INC.
Practice address
290 Lexington Dr
Buffalo Grove, IL 60089-6933
Phone
(847) 537-9600
Fax
(847) 537-9622
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Mr. Steven Liker
Title
Owner
Phone
(847) 537-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14D0993872 IL Primary

Addresses

Primary practice location

290 Lexington Dr
Buffalo Grove, IL 60089-6933

Mailing address

290 Lexington Dr
Buffalo Grove, IL 60089-6933
Phone (847) 537-9600

Other identifiers 1

IdentifierTypeStateIssuer
0001632093OtherILBLUE CROSS BLUE SHIELD PR

National Provider Directory

National Provider Directory

Locations

290 Lexington Dr
Buffalo Grove, IL 60089
Phone (847) 537-9600

704 S Milwaukee Ave
Wheeling, IL 60090
Phone (847) 537-9600

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1720158157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LEXINGTON DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896933",
            "telephone_number": "847-537-9600",
            "fax_number": "847-537-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LEXINGTON DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896933",
            "telephone_number": "847-537-9600",
            "fax_number": "847-537-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CENTURY DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "LIKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-537-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D0993872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "0001632093",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.