BRIN DIAGNOSTICS INC.


Address: 3216 W Kenwood, West Peoria, IL 61604
Phone: 3096359963

BRIN DIAGNOSTICS INC. (NPI# 1720327976) 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) 1720327976
Entity Type Organization
Organization Name BRIN DIAGNOSTICS INC.
Practice Address 3216 W Kenwood
West Peoria
IL 61604
Practice Telephone 3096359963
Mailing Telephone 3096359963
Enumeration Date 2013-02-07
Last Update Date 2013-02-07
Authorized Official Name MR. DAN HARSHBARGER (MANAGER)
Authorized Official Telephone 3096359963
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 49D1100708 IL Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
IL CLIA 49D1100708 01

Office Location

Street Address 3216 W KENWOOD
City WEST PEORIA
State IL
Zip Code 61604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205357928 Nydia I Rodriguez Nurse's Aide 3305 N Finnell Ave, Peoria, IL 61604 2017-07-03
1225373715 Ngocyen Thi Ngo Pharmacist 2515 N Knoxville Avenue, Peoria, IL 61604 2012-12-10
1194027003 Schelly Chiropractic, Inc Chiropractor 1208 W Loucks, Peoria, IL 61604 2010-11-29
1770755852 Dental Sealants & More Dentist 2126 N. University St., Peoria, IL 61604 2008-03-28
1821266123 David L Krick Dentist 2022 N University, Peoria, IL 61604 2008-02-20
1568658409 Advanced Physicians Health Care, S.c. Chiropractor 1200 West Loucks Ave, Peoria, IL 61604 2007-09-24
1902006000 Noel Liu Dentist 3127 N. University St., Unit C, Peoria, IL 61604 2007-07-18
1568586386 Susan B Bordenave-bishop Dentist 2116 N. Sheridan, Peoria, IL 61604 2007-03-19
1174689897 Paul Anthony Amodeo Dentist 3100 N Dries Lane, Suite 301, Peoria, IL 61604 2006-12-28
1407948607 Andrew Jon Heritch Psychiatry & Neurology 3116 N Dries Ln, #201, Peoria, IL 61604 2006-09-28
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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City WEST PEORIA
Zip Code 61604

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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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