Provider Demographics
NPI:1225780042
Name:TESTING FOR COVID LLC
Entity Type:Organization
Organization Name:TESTING FOR COVID LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANGER
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-947-5066
Mailing Address - Street 1:118 SAINT GERMAIN PL
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-4607
Mailing Address - Country:US
Mailing Address - Phone:630-947-5066
Mailing Address - Fax:
Practice Address - Street 1:1367 WIND ENERGY PASS
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-9007
Practice Address - Country:US
Practice Address - Phone:630-450-0006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory