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STAT TBI AND CONCUSSION DIAGNOSTICS
NPI 1467222844
Specialist/Technologist, Other in Oak Park, IL

Active since January 05, 2024
1100 LAKE ST STE LL56, OAK PARK, IL 60301(800) 767-8903(888) 221-4798 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stat Tbi And Concussion Diagnostics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAT TBI AND CONCUSSION DIAGNOSTICS (NPI 1467222844) is a healthcare organization registered as a specialist/technologist, other in Oak Park, Illinois and active in the NPI registry since January 2024. The organization lists Darnell Randall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467222844
Entity TypeOrganization
Primary Taxonomy246Z00000X
Legal Business NameSTAT TBI AND CONCUSSION DIAGNOSTICS
Location Address1100 LAKE ST STE LL56Oak Park, IL 60301-1034
Mailing Address1860 Sandy Plains Rd, Suite 200 Pmb 2058Marietta, GA 30066 · (800) 767-8903 · Fax (888) 221-4798
Phone(800) 767-8903
Fax(888) 221-4798
Organization SubpartNo
Authorized OfficialDarnell RandallCeo · (678) 372-3765
Enumeration DateJanuary 5, 2024
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1467222844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
1100 LAKE ST STE LL56, Oak Park, IL 60301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL ANDRADE
Physician Assistant
1100 LAKE ST STE LL56
OAK PARK, IL 60301
Cook County (404) 631-6156

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stat Tbi And Concussion Diagnostics's NPI number?

The NPI number for Stat Tbi And Concussion Diagnostics is 1467222844. It was assigned to this organization in the NPPES registry on January 5, 2024.

Where is Stat Tbi And Concussion Diagnostics located?

Stat Tbi And Concussion Diagnostics is located at 1100 Lake St Ste Ll56, Oak Park, IL 60301. The listed phone number is (800) 767-8903.

What is Stat Tbi And Concussion Diagnostics's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Stat Tbi And Concussion Diagnostics was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.