Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Ridge Imaging Ltd

Organization Clinical Medical Laboratory · NPI 1538254651

Glen Ridge Imaging Ltd is a Clinical Medical Laboratory in Mokena, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19602 S Lagrange Rd
Mokena, IL 60448-9321
Phone: (708) 478-3000
Fax: (708) 478-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (IL)

Record details

NPI number1538254651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Nisivoccia — President · (708) 478-3000
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address19602 S Lagrange Road, Mokena, IL 60448-9321

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