Provider Demographics
NPI:1861655961
Name:SNAP DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:SNAP DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVIV
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-777-0000
Mailing Address - Street 1:616 ATRIUM DR STE 100
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1713
Mailing Address - Country:US
Mailing Address - Phone:847-777-0000
Mailing Address - Fax:847-465-3401
Practice Address - Street 1:616 ATRIUM DR STE 100
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1713
Practice Address - Country:US
Practice Address - Phone:847-777-0000
Practice Address - Fax:847-465-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory