MIDWEST DIAGNOSTICS INC


Address: 3330 W 177th St, Suite 2c, Hazel Crest, IL 60429-2184
Phone: 1708799114

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory 036074003 IL Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 01638865 01

Office Location

Street Address 3330 W 177TH ST
SUITE 2C
City HAZEL CREST
State IL
Zip Code 60429-2184

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City HAZEL CREST
Zip Code 60429

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Dataset Information

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.

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