Active NPI
Park and Test LLC
- Phlebotomy Technician
- Evanston, IL
National Provider Identifier
1891304259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- PARK AND TEST LLC
- Practice address
- 2015 Ridge Ave
Evanston, IL 60201-2713 - Phone
- (847) 607-1879
- NPI assigned
- Jul 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Jarman, CPT
- Title
- Technician
- Phone
- (847) 607-1879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
2015 Ridge Ave
Evanston, IL 60201-2713
Mailing address
1400 Patriot Blvd Unit 526
Glenview, IL 60026-7702
National Provider Directory
National Provider DirectoryLocations
1400 Patriot Blvd
Unit 526
Glenview, IL 60026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596067200000",
"number": "1891304259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PATRIOT BLVD UNIT 526",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600267702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012713",
"telephone_number": "847-607-1879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK AND TEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A",
"authorized_official_last_name": "JARMAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "TECHNICIAN",
"authorized_official_telephone_number": "847-607-1879",
"authorized_official_credential": "CPT"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.