Provider Demographics
NPI:1588324958
Name:COVID SOLUTIONS LLC
Entity type:Organization
Organization Name:COVID SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MILAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MITIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-456-1658
Mailing Address - Street 1:4303 ROYAL FOX DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-8785
Mailing Address - Country:US
Mailing Address - Phone:630-456-1658
Mailing Address - Fax:
Practice Address - Street 1:191 W NORTH AVE STE 110
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-6239
Practice Address - Country:US
Practice Address - Phone:630-398-6504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
No247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Single Specialty