# MCCLAIN DIAGNOSTIC CO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396491486
- **Authorized official:** MR. HARRY LEWIS MCCLAIN IV (PRESIDENT/VASCULAR TECHNOLOGIST)
- **Authorized official phone:** (312) 678-0677

## Contact information

- **Practice address:** 2343 S SPRINGFIELD AVE \# 2, CHICAGO, IL 60623-3047
- **Practice address phone:** (312) 678-0512
- **Mailing address:** 2343 S SPRINGFIELD AVE \# 2, CHICAGO, IL 60623-3047
- **Mailing address phone:** (312) 678-0677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | Yes |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2022
- **Last updated:** 02/27/2022