Healthcare Provider Details

I. General information

NPI: 1902553167
Provider Name (Legal Business Name): SAFE SCREENING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 W LINCOLN HWY STE 105
CHICAGO HEIGHTS IL
60411-2569
US

IV. Provider business mailing address

276 W LINCOLN HWY STE 105
CHICAGO HEIGHTS IL
60411-2569
US

V. Phone/Fax

Practice location:
  • Phone: 708-678-9143
  • Fax:
Mailing address:
  • Phone: 708-678-9143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name: GRETA L YOUNG
Title or Position: DIRECTOR
Credential:
Phone: 708-678-9143