NPIMap

Organization Active NPI

Theratest Laboratories, Inc.

  • Clinical Medical Laboratory
  • Lombard, IL
National Provider Identifier
1902803554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2087-8990 TLV Issued in IL
Legal business name
THERATEST LABORATORIES, INC.
Practice address
1111 N Main St
Lombard, IL 60148-1360
Phone
(630) 627-6069
Fax
(630) 627-4231
NPI assigned
Jun 28, 2005
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
Dr. Marius Teodorescu, M.D.NPI 1326348970
Title
President and Ceo
Phone
(630) 627-6069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2087-8990 TLV IL Primary

Addresses

Primary practice location

1111 N Main St
Lombard, IL 60148-1360

Mailing address

1111 N Main St
Lombard, IL 60148-1360
Phone (630) 627-6069

National Provider Directory

National Provider Directory

Locations

1111 N Main St
Lombard, IL 60148
Phone (630) 627-6069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902803554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481360",
            "telephone_number": "630-627-6069",
            "fax_number": "630-627-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481360",
            "telephone_number": "630-627-6069",
            "fax_number": "630-627-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERATEST LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEODORESCU",
        "authorized_official_first_name": "MARIUS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "630-627-6069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "2087-8990 TLV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, 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.