The Bleeding And Clotting Disorders Institute

LBN: The Bleeding And Clotting Disorders Institute
The Bleeding And Clotting Disorders Institute is an health care organization with primary practice located at 427 W Northmoor Rd , Peoria IL 61614-3542. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. The Bleeding And Clotting Disorders Institute can be contacted via phone (309) 692-5337, or through Tarantino, Michael via phone (309) 692-5337.

Contact Information

Primary practice address
427 W Northmoor Rd Peoria IL 61614-3542
Phone: (309) 692-5337
Fax: (309) 693-3913
Website:
Map and Directions
Authorized official contact:
Name: Tarantino, Michael Doctor of Medicine (MD)
Phone: (309) 692-5337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X 054-017718 Illinois

Profile Details

NPI number 1639508567
LBN Legal business name The Bleeding And Clotting Disorders Institute
DBA Doing business as
Authorized official Tarantino, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2013
Last updated Jul 30th, 2021 - about 5 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 1639508567 NPPES
Illinois MEDICAID 398680716
Illinois Other 7225372

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