ORTHOMIDWEST, PLLC
NPI 1285087114
Durable Medical Equipment & Medical Supplies in Machesney Park, IL
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 52D2282406
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-21-2027
About ORTHOMIDWEST, PLLC
This page provides the complete NPI Profile along with additional information for Orthomidwest, Pllc, a provider established in Machesney Park, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1285087114 assigned on July 2016. The practitioner's primary taxonomy code is 332B00000X with license number 060011100 (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Leslie Elmer Cpcs (Credentialing Coordinator)
- NPI
- 1285087114 Verify this NPI
- Provider Name
- ORTHOMIDWEST, PLLC
- Entity Type
- Organization
- Location Address
- 1073 W LANE RD MACHESNEY PARK, IL 61115
- Location Phone
- (815) 381-7431
- Location Fax
- (815) 381-7333
- Mailing Address
- PO BOX 735263 CHICAGO, IL 60673
- Mailing Phone
- (815) 381-7431
- Mailing Fax
- (815) 381-7333
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2016
- Last Update Date
- 04-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 060011100
- License State
- IL
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2282406
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- May 22, 2025
- Certificate Expiration Date
- May 21, 2027
- Laboratory Director
- DR. JOHN BOTTROS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Orthomidwest, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285087114, enumerated as an "organization" on July 15, 2016.
The provider is located at 1073 W LANE RD MACHESNEY PARK, IL 61115 and the phone number is (815) 381-7431.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
