Provider Demographics
NPI:1154097459
Name:MEDITECH CLINICAL SERVICES, INC.
Entity Type:Organization
Organization Name:MEDITECH CLINICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PACIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-408-2258
Mailing Address - Street 1:915 BUSSE RD
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-2400
Mailing Address - Country:US
Mailing Address - Phone:224-209-2866
Mailing Address - Fax:224-209-2866
Practice Address - Street 1:915 BUSSE RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-2400
Practice Address - Country:US
Practice Address - Phone:224-209-2866
Practice Address - Fax:224-209-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory