NPIMap

Organization Active NPI

Assured Diagnostic Testing,Inc.

  • Physiological Laboratory
  • Des Plaines, IL
National Provider Identifier
1730483538
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ASSURED DIAGNOSTIC TESTING,INC.
Practice address
380 E Northwest Hwy
Suite 320 B-2
Des Plaines, IL 60016-2290
Phone
(847) 768-1090
Fax
(847) 768-7665
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Ms. Emma C. Palma
Title
Vice- Pres.
Phone
(847) 704-0997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

380 E Northwest Hwy
Suite 320 B-2
Des Plaines, IL 60016-2290

Mailing address

380 E Northwest Hwy
Suite 320 B-2
Des Plaines, IL 60016-2290
Phone (847) 768-1090

National Provider Directory

National Provider Directory

Locations

380 E Northwest Hwy
Ste 320B2
Des Plaines, IL 60016
Phone (847) 768-1090

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1730483538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY",
            "address_2": "SUITE 320 B-2",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162290",
            "telephone_number": "847-768-1090",
            "fax_number": "847-768-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY",
            "address_2": "SUITE 320 B-2",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162290",
            "telephone_number": "847-768-1090",
            "fax_number": "847-768-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED DIAGNOSTIC TESTING,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE- PRES.",
        "authorized_official_telephone_number": "847-704-0997",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.