Organization
CLEAR IMAGE DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANSFIELD (OWNER)
(773) 774-7300
Entity
Organization
Contact information
Practice address
5906 N MILWAUKEE AVE, CHICAGO, IL 60646-5420
(773) 774-7300
(733) 774-7313
Mailing address
5906 N MILWAUKEE AVE, CHICAGO, IL 60646-5420
(773) 774-7300
(733) 774-7313
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632653
BC#
IL
Enumeration date
05/11/2006
Last updated
10/25/2007
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