NPIMap

Organization Active NPI

Treatment Alternatives for Safe Communities

Doing business as TASC, Inc.

  • Clinical Medical Laboratory
  • Rockford, IL
National Provider Identifier
1952849036
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D0927073 Issued in IL
Legal business name
TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Doing business as
TASC, Inc.
Practice address
401 W State St
Rockford, IL 61101-1248
Phone
(815) 965-1106
Fax
(815) 964-5784
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Mr. Roy Fesmire
Title
Chief Financial Officer
Phone
(312) 787-0208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14D0927073 IL Primary

Addresses

Primary practice location

401 W State St
Rockford, IL 61101-1248

Mailing address

700 S Clinton St
Chicago, IL 60607-4350
Phone (312) 787-0208

Other identifiers 3

IdentifierTypeStateIssuer
14D0927073OtherILCLIA LABORATORY CERTIFICATION
A-0637-0043-AMedicaidIL
13001MedicaidIL

Other names 1

  • TASC, Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2311639Tasc Inc401 W State St - Ste 700, Rockford, IL 61101RegistrationSep 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tasc Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1952849036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S CLINTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074350",
            "telephone_number": "312-787-0208",
            "fax_number": "312-787-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011248",
            "telephone_number": "815-965-1106",
            "fax_number": "815-964-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "FESMIRE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "312-787-0208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D0927073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LABORATORY CERTIFICATION",
            "identifier": "14D0927073",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A-0637-0043-A",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TASC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.