Envision Diagnostics Inc
NPI 1710016290ActiveOrganization· Physiological Laboratory· Northbrook, IL
Physiological Laboratory in Northbrook, Illinois, registered in NPPES in March 2007. The authorized official on file is Olga Green, PSY.D, President. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1710016290 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2007 |
| Last updated in NPPES | Feb 10, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Clinic/Center, Radiology, Mobile | 261QR0208X | 036120986 | IL |
| Clinic/Center, Radiology, Mobile | 261QR0208X | 036074107 | IL |
| Clinic/Center, Radiology, Mobile | 261QR0208X | 036105010 | IL |
| Clinic/Center, Radiology, Mobile | 261QR0208X | 036110490 | IL |
| Clinic/Center, Radiology, Mobile | 261QR0208X | 036126885 | IL |
| Clinic/Center, Radiology, Mobile | 261QR0208X | 036108313 | IL |
| Clinic/Center, Radiology, Mobile | 261QR0208X | 036087491 | IL |
| Clinic/Center, Radiology, Mobile | 261QR0208X | 036099445 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (IL) |
|---|
Other Physiological Laboratory providers in Northbrook
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