MIDWEST DIAGNOSTICS INC (NPI# 1932386760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932386760 |
Entity Type | Organization |
Organization Name | MIDWEST DIAGNOSTICS INC |
Practice Address |
3330 W 177th St Suite 2c Hazel Crest IL 60429-2184 |
Practice Telephone | 1708799114 |
Mailing Telephone | 1708799114 |
Enumeration Date | 2008-01-23 |
Last Update Date | 2009-05-21 |
Authorized Official Name | SANDIE NAPIENTEK (PAYER CONTRACTING) |
Authorized Official Telephone | 6303995940 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | 036074003 | IL | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 01638865 | 01 |
Street Address |
3330 W 177TH ST SUITE 2C |
City | HAZEL CREST |
State | IL |
Zip Code | 60429-2184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780673897 | Nader M Beshay | Internal Medicine | 3330 W 177th St, Suite 3 H, Hazel Crest, IL 60429-2001 | 2005-10-20 |
1528614583 | Maribel Arteaga | Physical Therapist | 3330 W 177th St, Hazel Crest, IL 60429-2184 | 2019-08-15 |
1477119014 | Milka Ramirez | Social Worker | 3330 W 177th St, Hazel Crest, IL 60429-2184 | 2019-05-17 |
1396113486 | Samantha Hyche | Nurse Practitioner | 3330 W 177th St, Ste 3g, Hazel Crest, IL 60429-2199 | 2015-09-08 |
1427439645 | Ralph Yaniz | Counselor | 3330 W 177th St, 1f, Hazel Crest, IL 60429-2184 | 2015-06-12 |
1972998748 | Ozella Barnes | Psychologist | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2015-03-30 |
1346631645 | Healing Health Pharmacy Inc | Pharmacy | 3330 W 177th St, Suite 3e, Hazel Crest, IL 60429-2184 | 2015-02-09 |
1629472766 | Dorretta Parker | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2014-10-17 |
1073916888 | Vienne Reid | Social Worker | 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429-2184 | 2014-10-07 |
1134546906 | Mia Garmon | Registered Nurse | 3330 W 177th St, Suite 2g, Hazel Crest, IL 60429-2184 | 2014-03-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
Find all providers in zip 60429 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710587852 | Express Medical Labs LLC | Physiological Laboratory | 9830 Ridgeland Ave Ste 115, Chicago Ridge, IL 60415-2667 | 2020-10-28 |
1538532874 | Braincare, LLC | Physiological Laboratory | 1 Bio Logic Plz, Ste 1, Mundelein, IL 60060-3708 | 2015-11-09 |
1174901920 | Midwest Diagnostics Incorporated | Physiological Laboratory | 1555 S Redwood Dr, Mt Prospect, IL 60056-4906 | 2015-05-13 |
1023406477 | Physician Imaging Solutions Inc | Physiological Laboratory | 24012 W Lockport St, Suite 2e, Plainfield, IL 60544-2280 | 2015-01-07 |
1356752620 | Primera Healthcare Solutions, Inc. | Physiological Laboratory | 3340 Dundee Rd Ste 2c4, Northbrook, IL 60062-2331 | 2014-05-08 |
1053619742 | Valley Regional Health Services L3c | Physiological Laboratory | 4391 Venture Dr, Peru, IL 61354-1014 | 2011-03-04 |
1780826230 | Division Mri, Inc. | Physiological Laboratory | 2618 W Division St, Chicago, IL 60622-7107 | 2009-03-30 |
1710130539 | Irhythm Technologies, Inc. | Physiological Laboratory | 2 Marriott Dr, Lincolnshire, IL 60069-3700 | 2008-10-23 |
1336399583 | Univ. of Illinois At Chicago | Physiological Laboratory | 851 S Morgan St, Seo, Mc 063, Room 218, Chicago, IL 60607-7042 | 2008-09-24 |
1407043581 | Effingham Sleep Center, Inc | Physiological Laboratory | 2313 Hoffman Dr, Effingham, IL 62401-2839 | 2007-10-02 |
Find all providers with the same taxonomy |
City | HAZEL CREST |
Zip Code | 60429 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.