Comprehensive Hemostasis And Thrombosis Laboratory

LBN: Comprehensive Hemostasis And Thrombosis Institute
Comprehensive Hemostasis And Thrombosis Laboratory is an health care organization with primary practice located at 4727 N Sheridan Rd , Peoria IL 61614-5925. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Comprehensive Hemostasis And Thrombosis Institute can be contacted via phone (309) 688-1345, or through Davis, Mary L via phone (309) 688-1345.

Contact Information

Primary practice address
4727 N Sheridan Rd Peoria IL 61614-5925
Fax: (309) 688-0917
Website:
Authorized official contact:
Name: Davis, Mary L

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 14D0982678 CLIA

Profile Details

NPI number 1194711234
LBN Legal business name Comprehensive Hemostasis And Thrombosis Institute
DBA Doing business as Comprehensive Hemostasis And Thrombosis Laboratory
Authorized official Davis, Mary L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Aug 8th, 2008 - about 16 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 1194711234 NPPES
Other P00115815 RAILROAD MEDICARE
Other 7230099 RAILROAD MEDICARE

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