The Bleeding And Clotting Disorders Institute
LBN: The Bleeding And Clotting Disorders Institute
The Bleeding And Clotting Disorders Institute is an health care organization with primary practice located at 427 W Northmoor Rd , Peoria IL 61614-3542. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
The Bleeding And Clotting Disorders Institute can be contacted via phone (309) 692-5337, or through Tarantino, Michael D via phone (309) 692-5337.
Contact Information
Primary practice address
427 W Northmoor Rd
Peoria IL 61614-3542
Phone: (309) 692-5337
Fax: (309) 693-3913
Website:
Authorized official contact:
Name: Tarantino, Michael D Doctor of Medicine (MD)
Phone: (309) 692-5337
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 036101239 | Illinois |
Profile Details
| NPI number | 1134424633 |
|---|---|
| LBN Legal business name | The Bleeding And Clotting Disorders Institute |
| DBA Doing business as | |
| Authorized official | Tarantino, Michael D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2011 |
| Last updated | Jul 30th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134424633 | NPPES |
| Illinois | MEDICAID | 398680716 | |
| Illinois | Other | 7225372 |
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