Glen Ridge Imaging Ltd
Glen Ridge Imaging Ltd is a healthcare organization registered as Clinical Medical Laboratory in Mokena, IL, holding Type 2 (organization) NPI 1538254651 since 2006. The authorized official on file is Glen Nisivoccia, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538254651 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Glen Ridge Imaging Ltd |
| Practice address | 19602 S LAGRANGE ROAD, Mokena, IL, 60448 |
| Phone | 7084783000 |
| Fax | 7084783007 |
| Enumeration date | 2006-10-04 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Glen Nisivoccia |
|---|---|
| Title | President |
| Phone | 7084783000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | IL |
Copy-ready billing details
Provider: Glen Ridge Imaging Ltd NPI: 1538254651 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 19602 S LAGRANGE ROAD, Mokena, IL, 60448
Verify this record
Cross-check NPI 1538254651 against the authoritative CMS record: view Glen Ridge Imaging Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Glen Ridge Imaging Ltd?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.