Organization
TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Active
Organization
TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Active
Other names
TASC, Inx.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY FESMIRE (CHIEF FINANCIAL OFFICER)
(312) 787-0208
Entity
Organization
Contact information
Practice address
700 S CLINTON ST, CHICAGO, IL 60607-4350
(312) 787-0208
(312) 787-9663
Mailing address
700 S CLINTON ST, CHICAGO, IL 60607-4350
(312) 787-0208
(312) 787-9663
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D042550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13001
—
IL
01
—
14D042550
CLIA LABORATORY CERTIFICATION
IL
05
—
A-0637-0048-A
—
IL
Enumeration date
02/08/2017
Last updated
03/09/2017
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