Organization Active NPI

Insurance Phys SVCS, Inc

  • Phlebotomy Technician
  • Bloomingdale, IL
National Provider Identifier
1740558840
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
711885 Issued in IL
Legal business name
INSURANCE PHYS SVCS, INC
Practice address
208 Ringneck, CT
Ips, Inc.
Bloomingdale, IL 60108
Phone
(630) 295-9630
Fax
(630) 295-9631
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mr. Luciano Mastrolia, CPME-711885
Title
Manager/Examiner
Phone
(630) 295-9630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X 711885 IL Primary

Addresses

Primary practice location

208 Ringneck, CT
Ips, Inc.
Bloomingdale, IL 60108

Mailing address

208 Ringneck, CT
Ips, Inc.
Bloomingdale, IL 60108
Phone (630) 295-9630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1740558840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 RINGNECK, CT",
            "address_2": "IPS, INC.",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-295-9630",
            "fax_number": "630-295-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 RINGNECK, CT",
            "address_2": "IPS, INC.",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-295-9630",
            "fax_number": "630-295-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSURANCE PHYS SVCS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "MASTROLIA",
        "authorized_official_first_name": "LUCIANO",
        "authorized_official_title_or_position": "MANAGER/EXAMINER",
        "authorized_official_telephone_number": "630-295-9630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPME-711885"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IL",
            "license": "711885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

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