Provider Demographics
NPI:1861725327
Name:HEALTHPOINT DIAGNOSTIX INC
Entity type:Organization
Organization Name:HEALTHPOINT DIAGNOSTIX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:KITCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-914-0203
Mailing Address - Street 1:PO BOX 7389
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-7389
Mailing Address - Country:US
Mailing Address - Phone:847-914-0203
Mailing Address - Fax:847-914-0209
Practice Address - Street 1:25 TRI STATE INTL
Practice Address - Street 2:SUITE 150
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-4452
Practice Address - Country:US
Practice Address - Phone:847-914-0203
Practice Address - Fax:847-914-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL14D1084603291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory