OrganizationActive
Ken Gray Company Inc.
NPI 1184081374 · Anesthesiologist Assistant · Bolingbrook, IL
Provider details
- NPI number
- 1184081374
- Entity type
- Organization
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Ken Gray Company Inc.
- Organization subpart
- Yes
- Authorized official
- Kenneth Gray, President/ Clinical Director(630) 914-5065
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Laboratory Technician246RM2200X
Technologists, Technicians & Other Technical Service Providers
- Phlebotomy Technician246RP1900X
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
451 Mallview Ln
Bolingbrook, IL 60440-2974
Phone: (630) 914-5065
Approximate (ZIP-level) locationGet directions
Mailing address
451 Mallview Ln
Bolingbrook, IL 60440-2974
Other names (DBA / former)
- Other name
- Gray Forensic Toxicology Testing Labs
Registry dates
- Enumerated
- 2016-01-20
- Last updated
- 2016-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.