Stat Tbi and Concussion Diagnostics
NPI 1467222844ActiveOrganization· Specialist/Technologist, Other· Oak Park, IL
Specialist/Technologist, Other in Oak Park, Illinois, registered in NPPES in January 2024. The authorized official on file is Darnell Randall, Ceo.
Overview
| NPI | 1467222844 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2024 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Other Primary | 246Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist/Technologist, Other providers in Oak Park
- 1023634045