Predicine, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREDICINE, INC.

Practice address

1314 N Plum Grove Rd
Schaumburg, IL 60173-4546

Phone

(312) 210-0004

NPI assigned

Sep 2, 2022

Organization subpart

Yes

Parent organization

PREDICINE, INC.As reported in NPPES

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

Authorized official

Name

Sungwen Chiu

Title

Head of Revenue Cyle Management

Phone

(510) 589-4515

Specialties & licenses 1

Addresses

Part of

Predicine Inc

Locations

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1912628454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 ARDEN RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945453922",
            "telephone_number": "650-300-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 N PLUM GROVE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734546",
            "telephone_number": "312-210-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREDICINE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREDICINE, INC.",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "SUNGWEN",
        "authorized_official_title_or_position": "HEAD OF REVENUE CYLE MANAGEMENT",
        "authorized_official_telephone_number": "510-589-4515"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PR Orthotics & OT, LLC
• Pra Behavioral LLC
• Sejal Prabhu
• Prana Pharmacy Chicago LLC
• Precision Medical Group Incorporated
• Premier Care Providers Corporation
• Premier Health Partners, LLC
• Premier Health Services Inc
• Premier Pain Specialists LLC
• Premier Pain Specialists LLC

• Clinical Medical Laboratory in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.