Healthcare Provider Details

I. General information

NPI: 1619834587
Provider Name (Legal Business Name): ORISDX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N ABERDEEN ST STE 900
CHICAGO IL
60642-6549
US

IV. Provider business mailing address

400 N ABERDEEN ST STE 900
CHICAGO IL
60642-6549
US

V. Phone/Fax

Practice location:
  • Phone: 630-800-7379
  • Fax:
Mailing address:
  • Phone: 630-800-7379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK CONNIFF
Title or Position: COO/CFO
Credential: MBA
Phone: 630-800-7379