Provider Demographics
NPI:1881384782
Name:REMINGTON MOLECULAR WOODALE LLC
Entity type:Organization
Organization Name:REMINGTON MOLECULAR WOODALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-258-2384
Mailing Address - Street 1:3 GRANT SQ UNIT 145
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3351
Mailing Address - Country:US
Mailing Address - Phone:630-258-2384
Mailing Address - Fax:630-203-1643
Practice Address - Street 1:199 S ADDISON RD STE 107B
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-1978
Practice Address - Country:US
Practice Address - Phone:630-325-6300
Practice Address - Fax:630-203-1643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty