Organization · Type 2 NPI
Southwest Direct Diagnostic Laboratory
Clinic/Center · Wheaton, IL
NPI number
1740109123
Active
Practice location
301 W Roosevelt Rd Ste J
Wheaton, IL 60187-5009
Fax (346) 771-1189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
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- New Day Wellness Center, LLCClinic/Center Wheaton, IL NPI 1457866410
- Avanti Medical Group of Illinois LLCClinic/Center Wheaton, IL NPI 1609185875
- Stonybrook CenterClinic/Center Wheaton, IL NPI 1629374566
About NPI 1740109123
Southwest Direct Diagnostic Laboratory's National Provider Identifier is 1740109123, issued on Jul 10, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Wheaton, IL. The record was last updated on Sep 15, 2026.