NPI Code Detail JSON Logo

1184081374 NPI number — KEN GRAY COMPANY INC.

NPI Number: 1184081374
Health Care Provider/Practitioner: KEN GRAY COMPANY INC.

Information about “1184081374” NPI (KEN GRAY COMPANY INC.) exists in 1184081374 in HTML format HTML  |  1184081374 in plain Text format TXT  |  1184081374 in PDF (Portable Document Format) PDF  |  1184081374 in an XML format XML  formats.

NPI Number : 1184081374 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184081374",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "KEN GRAY COMPANY INC.",
    "ParentOrgTIN": null,
    "OrgName": "KEN GRAY COMPANY INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "451 MALLVIEW LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOLINGBROOK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60440-2974",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-914-5065",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "451 MALLVIEW LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOLINGBROOK",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60440-2974",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-914-5065",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/20/2016",
    "LastUpdateDate": "01/20/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GRAY",
    "AuthorizedOfficialFirstName": "KENNETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/ CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "SR.",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "630-914-5065",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "246RM2200X",
          "TaxonomyName": "Medical Laboratory Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246RP1900X",
          "TaxonomyName": "Phlebotomy Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "247ZC0005X",
          "TaxonomyName": "Clinical Laboratory Director (Non-physician)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367H00000X",
          "TaxonomyName": "Anesthesiologist Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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