OrganizationActive
Glen Ridge Imaging Ltd
NPI 1538254651 · Clinical Medical Laboratory · Mokena, IL
Glen Ridge Imaging Ltd is a Clinical Medical Laboratory organization in Mokena, IL (NPI 1538254651).
Provider details
- NPI number
- 1538254651
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Glen Nisivoccia, President(708) 478-3000
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19602 S Lagrange Road
Mokena, IL 60448-9321
Phone: (708) 478-3000
Fax: (708) 478-3007
Street-level locationGet directions
Mailing address
19602 S Lagrange Road
Mokena, IL 60448-9321
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Glen Ridge Imaging Ltd's NPI number?
- Glen Ridge Imaging Ltd's National Provider Identifier (NPI) is 1538254651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Ridge Imaging Ltd?
- Glen Ridge Imaging Ltd is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Glen Ridge Imaging Ltd located?
- Glen Ridge Imaging Ltd's practice location on file with NPPES is 19602 S Lagrange Road, Mokena, IL 60448-9321.
- What is Glen Ridge Imaging Ltd's phone number?
- The practice phone number listed in the NPPES registry for Glen Ridge Imaging Ltd is (708) 478-3000.
- Who is the authorized official for Glen Ridge Imaging Ltd?
- The authorized official listed on Glen Ridge Imaging Ltd's NPPES record is Glen Nisivoccia, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Ridge Imaging Ltd's NPI active?
- Yes — Glen Ridge Imaging Ltd's NPI (1538254651) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.