Organization Active NPI

Maria Diagnostics, Inc

  • Clinical Medical Laboratory
  • Northbrook, IL
National Provider Identifier
1740628668
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MARIA DIAGNOSTICS, INC
Practice address
2970 Maria Ave
103
Northbrook, IL 60062-2017
Phone
(847) 272-7230
Fax
(312) 256-9749
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Miss Maria Cherny
Title
Owner/President
Phone
(847) 272-7230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2970 Maria Ave
103
Northbrook, IL 60062-2017

Mailing address

2970 Maria Ave
103
Northbrook, IL 60062-2017
Phone (847) 272-7230

National Provider Directory

National Provider Directory

Locations

2970 Maria Ave
Ste 103
Northbrook, IL 60062
Phone (847) 272-7230

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1740628668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 MARIA AVE",
            "address_2": "103",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622017",
            "telephone_number": "847-272-7230",
            "fax_number": "312-256-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 MARIA AVE",
            "address_2": "103",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622017",
            "telephone_number": "847-272-7230",
            "fax_number": "312-256-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "CHERNY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-272-7230",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.