<Unavail>

LBN: Envision Diagnostics Inc
<Unavail> is an health care organization with primary practice located at 3000 Dundee Rd. Suite 311, Northbrook IL 60062. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Mobile, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty. Envision Diagnostics Inc can be contacted via phone (224) 235-4821, or through Green, Olga via phone (847) 494-0126.

Contact Information

Primary practice address
3000 Dundee Rd. Suite 311 Northbrook IL 60062
Phone: (224) 235-4821
Fax: (847) 383-6976
Website:
Map and Directions
Authorized official contact:
Name: Green, Olga PSY.D
Phone: (847) 494-0126

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 036120986 Illinois
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 036074107 Illinois
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 036105010 Illinois
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 036110490 Illinois
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 036126885 Illinois
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 036108313 Illinois
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 036087491 Illinois
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 036099445 Illinois
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1710016290
LBN Legal business name Envision Diagnostics Inc
DBA Doing business as <Unavail>
Authorized official Green, Olga PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Feb 10th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710016290 NPPES
Illinois Other 473809353310 HUMANA
Illinois MEDICAID 1710016290 HUMANA
Illinois Other 2233357 HUMANA

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