Medco Service Organization

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

MEDCO SERVICE ORGANIZATION

Practice address

28835 N Herky Dr Ste 102
Lake Bluff, IL 60044-1465

Phone

(847) 362-3201

Fax

(847) 362-3202

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Paula Huffman

Title

Owner

Phone

(847) 362-3201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841314804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28835 N HERKY DR STE 102",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441465",
            "telephone_number": "847-362-3201",
            "fax_number": "847-362-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28835 N HERKY DR STE 102",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441465",
            "telephone_number": "847-362-3201",
            "fax_number": "847-362-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO SERVICE ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-362-3201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Laboratory Technician in Lake Bluff, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.