NPI 1902896277

Glen Medical Imaging, INC.

Organisation Physiological Laboratory Buffalo Grove, IL

Practice location

Address: 251 Milwaukee Ave Suite 1016, Buffalo Grove, IL 60089-2809
Phone: (847) 215-9840
Fax: (847) 215-9843
Mailing address: 251 Milwaukee Ave Suite 1016, Bufffalo Grove, IL 60089-2826

Authorised official

Name: Alex Akselrud
Title: Owner/President
Phone: (847) 215-9840

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1902896277
Entity type: Organization
NPI issued: 26 Oct 2005
Record last updated: 20 Apr 2008

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.