MEDICARE: TESTING CENTERS OF AMERICA LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208000000X	Pediatrics Physician
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1316698756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TESTING CENTERS OF AMERICA LLC

Provider Business Mailing Address
First Line	:	1312 ROYAL SAINT GEORGE DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-2317
Country	:	US
Telephone Number	:	630-518-0271
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 N MAIN ST
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-2021
Country	:	US
Telephone Number	:	630-518-0271
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PRANAY PANDYA
Credential	:
Telephone Number	:	630-518-0271

Provider Enumeration Date	:	01/18/2022
Last Update Date	:	01/18/2022

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Directions to “TESTING CENTERS OF AMERICA LLC ” Practice Location

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