NPI 1871212449

Headdox INC

Organisation Physiological Laboratory Chicago, IL

Practice location

Address: 2625 N Clark St Unit 1s, Chicago, IL 60614-1852
Phone: (844) 212-5321
Fax: (214) 594-9559
Mailing address: PO Box 6529, McKinney, TX 75071-5114

Authorised official

Name: Frank Gray
Title: Director
Phone: (844) 212-5321

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1871212449
Entity type: Organization
NPI issued: 25 Aug 2022
Record last updated: 25 Aug 2022

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.