Provider Demographics
NPI:1558538462
Name:ASCOT DIAGNOSTIC SERVICES INC.
Entity Type:Organization
Organization Name:ASCOT DIAGNOSTIC SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIMRATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAINTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-884-7090
Mailing Address - Street 1:2200 W HIGGINS RD
Mailing Address - Street 2:STE 300
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169
Mailing Address - Country:US
Mailing Address - Phone:847-884-7090
Mailing Address - Fax:847-884-7133
Practice Address - Street 1:2200 W HIGGINS RD
Practice Address - Street 2:STE 300
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-884-7090
Practice Address - Fax:847-884-7133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL216371OtherMEDICARE PTAN