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NPI Code Detail

MEDICARE: ADVANCE RAPID TESTING INC

MEDICARE: ADVANCE RAPID TESTING INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1235880675
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCE RAPID TESTING INC
Provider Business Mailing Address
First Line : 1043 E 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60619-7831
Country : US
Telephone Number : 708-933-0872
Fax Number :
Provider Business Practice Location Address
First Line : 1043 E 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60619-7831
Country : US
Telephone Number : 708-933-0872
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. KENNETH NAVE
Credential :
Telephone Number : 708-933-0872
Provider Enumeration Date : 01/18/2022
Last Update Date : 01/18/2022

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Directions to “ADVANCE RAPID TESTING INC ” Practice Location

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