Portrait Health Centers Diagnostic Services

LBN: Phc Of Buffalo Grove Diagnostic Services
Portrait Health Centers Diagnostic Services is an health care organization with primary practice located at 150 W Half Day Rd Suite 105, Buffalo Grove IL 60089-6591. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty. Phc Of Buffalo Grove Diagnostic Services can be contacted via phone (847) 868-3435, or through Maggiore, Jack A via phone (847) 868-3435.

Contact Information

Primary practice address
150 W Half Day Rd Suite 105 Buffalo Grove IL 60089-6591
Phone: (847) 868-3435
Fax: (847) 859-5885
Website:
Map and Directions
Authorized official contact:
Name: Maggiore, Jack A PHD
Phone: (847) 868-3435

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1881975266
LBN Legal business name Phc Of Buffalo Grove Diagnostic Services
DBA Doing business as Portrait Health Centers Diagnostic Services
Authorized official Maggiore, Jack A PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2011
Last updated Aug 31st, 2011 - about 15 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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