NPI 1467222844

Stat Tbi and Concussion Diagnostics

Organisation Other Specialist/Technologist Oak Park, IL

Practice location

Address: 1100 Lake St STE Ll56, Oak Park, IL 60301-1034
Phone: (800) 767-8903
Fax: (888) 221-4798
Mailing address: 1860 Sandy Plains Rd Suite 200 Pmb 2058, Marietta, GA 30066

Authorised official

Name: Darnell Randall
Title: Ceo
Phone: (678) 372-3765

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1467222844
Entity type: Organization
NPI issued: 5 Jan 2024
Record last updated: 8 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.