NPI Code Detail JSON Logo

1619834587 NPI number — ORISDX INC

NPI Number: 1619834587
Health Care Provider/Practitioner: ORISDX INC

Information about “1619834587” NPI (ORISDX INC) exists in 1619834587 in HTML format HTML  |  1619834587 in plain Text format TXT  |  1619834587 in PDF (Portable Document Format) PDF  |  1619834587 in an XML format XML  formats.

NPI Number : 1619834587 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619834587",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ORISDX INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "400 N ABERDEEN ST STE 900",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60642-6549",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-800-7379",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 N ABERDEEN ST STE 900",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60642-6549",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-800-7379",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/05/2026",
    "LastUpdateDate": "01/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CONNIFF",
    "AuthorizedOfficialFirstName": "PATRICK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "COO/CFO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MBA",
    "AuthorizedOfficialTelephoneNumber": "630-800-7379",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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