ADEONA CLINICAL LABORATORY LLC (NPI# 1225254113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225254113 |
| Entity Type | Organization |
| Organization Name | ADEONA CLINICAL LABORATORY LLC |
| Practice Address |
391 Quadrangle Dr Suite N8 Bolingbrook IL 60440-3442 |
| Mailing Address |
391 Quadrangle Dr Suite N9 Bolingbrook IL 60440-3442 |
| Practice Telephone | 6303782100 |
| Practice Fax Number | 6303782990 |
| Mailing Telephone | 6303782100 |
| Mailing Fax Number | 6303782990 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2010-12-15 |
| Authorized Official Name | MR. NARAYAN S TORKE (PRESIDENT) |
| Authorized Official Telephone | 6303782100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | D1587714 | IL | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366493355 | Adeona Clinical Laboratory LLC | Clinical Medical Laboratory | 391 Quadrangle Dr, Suite N9, Bolingbrook, IL 60440-3442 | 2006-05-13 |
| Street Address |
391 QUADRANGLE DR SUITE N8 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831172386 | August Martinucci | Specialist | 391 Quadrangle Dr, S-1, Bolingbrook, IL 60440-3442 | 2005-11-29 |
| 1003370248 | Bolingbrook Dental Associates LLC | Clinic/Center | 391 Quadrangle Dr, Bolingbrook, IL 60440-3442 | 2019-01-22 |
| 1114242112 | Childhood Trauma Treatment Program of Advocate Health & Hospitals Corp | Clinic/Center | 391 Quadrangle Dr, N4, Bolingbrook, IL 60440-3442 | 2010-04-01 |
| 1215182837 | Jessica Lynn Durante | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2008-11-24 |
| 1629220371 | Hearing Choices Dba Jefferson Hearing Aid | Audiologist | 391 Quadrangle Dr, Suite S-1, Bolingbrook, IL 60440-3442 | 2008-10-14 |
| 1033390620 | Access Pediatrics Ltd | Pediatrics | 391 Quadrangle Dr, Suite N2, Bolingbrook, IL 60440-3442 | 2007-11-24 |
| 1598972127 | Stacy Lambin | Audiologist | 391 Quadrangle Dr, Bolingbrook, IL 60440-3442 | 2007-05-16 |
| 1548484892 | Thomas Lee Hesselink | General Practice | 391 Quadrangle Dr, S-1, Bolingbrook, IL 60440-3442 | 2007-04-11 |
| 1538287297 | Randall F. Summers, D.d.s.,ltd | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2007-03-27 |
| 1497870398 | Richard L Goodman | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2007-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1205259231 | Hansen Lab Service Inc | Clinical Medical Laboratory | 541 Spruce Rd, Bolingbrook, IL 60440-2504 | 2014-01-27 |
| 1275060931 | Optimalab Inc | Clinical Medical Laboratory | 402 W Boughton Rd, Suite E, Bolingbrook, IL 60440-1872 | 2017-05-12 |
| 1720452709 | Donald Hansen | Clinical Medical Laboratory | 541 Spruce Rd, Bolingbrook, IL 60440-2504 | 2015-11-13 |
| 1366493355 | Adeona Clinical Laboratory LLC | Clinical Medical Laboratory | 391 Quadrangle Dr, Suite N9, Bolingbrook, IL 60440-3442 | 2006-05-13 |
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| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.