Organization Active NPI

Preferred Diagnostics., Inc.

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1851485965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PREFERRED DIAGNOSTICS., INC.
Practice address
1103 N Crosby St # a
Chicago, IL 60610-2405
Phone
(847) 322-2438
Fax
(312) 624-7989
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George Cherny
Title
President
Phone
(847) 322-2438

Specialties & licenses 1

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

Addresses

Primary practice location

1103 N Crosby St # a
Chicago, IL 60610-2405

Mailing address

1103N. Crosby St. Ste. a
Chicago, IL 60610-2405
Phone (847) 322-2438

Other identifiers 1

IdentifierTypeStateIssuer
01635845OtherILBLUE CROSSB BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851485965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103N. CROSBY ST. STE. A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102405",
            "telephone_number": "847-322-2438",
            "fax_number": "312-624-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N CROSBY ST # A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102405",
            "telephone_number": "847-322-2438",
            "fax_number": "312-624-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED DIAGNOSTICS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERNY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-322-2438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSB BLUE  SHIELD",
            "identifier": "01635845",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.