Organization Active NPI

Park and Test LLC

  • Phlebotomy Technician
  • Evanston, IL
National Provider Identifier
1891304259
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
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

Updated by the provider on Jul 30, 2020

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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.