Provider Demographics
NPI:1861255002
Name:ZAYAS, NOEL I
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:
Last Name:ZAYAS
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 DIVISION ST STE 510-511
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-5587
Mailing Address - Country:US
Mailing Address - Phone:224-529-7500
Mailing Address - Fax:224-529-4729
Practice Address - Street 1:164 DIVISION ST STE 510-511
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-5587
Practice Address - Country:US
Practice Address - Phone:224-529-7500
Practice Address - Fax:224-529-4729
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory