Provider Demographics
NPI:1174928089
Name:SPIRIPLEX INC
Entity type:Organization
Organization Name:SPIRIPLEX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEISNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-393-4555
Mailing Address - Street 1:100 TRI STATE INTL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-4403
Mailing Address - Country:US
Mailing Address - Phone:847-393-4555
Mailing Address - Fax:
Practice Address - Street 1:100 TRI STATE INTL
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-4403
Practice Address - Country:US
Practice Address - Phone:847-393-4555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory