MEDLAB INC (NPI# 1154515377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154515377 |
| Entity Type | Organization |
| Organization Name | MEDLAB INC |
| Practice Address |
3550 W Peterson Ave Suite 100 Chicago IL 60659-3270 |
| Practice Telephone | 7734786333 |
| Practice Fax Number | 7734786335 |
| Mailing Telephone | 7734786333 |
| Mailing Fax Number | 7734786335 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | MR. ARSHADULLAH SYED (PRESIDENT) |
| Authorized Official Telephone | 6306775272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | IL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | 215612 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366468027 | Medlab Inc | Clinical Medical Laboratory | 600 Cayuga Rd, Cheektowaga, NY 14225-1305 | 2006-07-14 |
| 1164993523 | Medlab Inc | Clinical Medical Laboratory | 800 Boone Ave N, Golden Valley, MN 55427-4468 | 2018-12-11 |
| Street Address |
3550 W PETERSON AVE SUITE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795314 | Jerry S Spyratos | Dentist | 3550 W Peterson Ave, Suite 101, Chicago, IL 60659-3270 | 2005-10-26 |
| 1568902872 | Gary Dong Dds | Dentist | 3550 W Peterson Ave, Chicago, IL 60659-3270 | 2017-03-06 |
| 1134391055 | Healthcare for Dental Systems | Dentist | 3550 W Peterson Ave, Suite 305, Chicago, IL 60659-3270 | 2008-04-01 |
| 1164582839 | Hl Health Care Services, Inc. | Home Health | 3550 W Peterson Ave, Suite 306, Chicago, IL 60659-3270 | 2006-12-11 |
| 1942307145 | Divine Providence Home Health Agency, Inc. | Home Health | 3550 W Peterson Ave, Suite 304, Chicago, IL 60659-3270 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1437778487 | Special Friend Laboratory LLC | Clinical Medical Laboratory | 9212 S Commercial Ave, Chicago, IL 60617-4508 | 2020-04-10 |
| 1346886058 | Kc Med Labratory | Clinical Medical Laboratory | 7518 S Ridgeland Ave, Chicago, IL 60649-3907 | 2019-11-18 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1063991735 | Omni Laboratory Services | Clinical Medical Laboratory | 5862 N Lincoln Ave Ste C2, Chicago, IL 60659-4628 | 2018-08-13 |
| 1992299119 | Lumi Diagnostics LLC | Clinical Medical Laboratory | 2222 W Division St Ste 220, Chicago, IL 60622-3094 | 2018-06-20 |
| 1821526328 | Abc Labs | Clinical Medical Laboratory | 6449 S Pulaski Rd Ste 108, Chicago, IL 60629-5148 | 2017-05-27 |
| 1780132068 | Trisys Medical Group | Clinical Medical Laboratory | 900 N Franklin St Ste 407, Chicago, IL 60610-3168 | 2016-09-15 |
| 1699222000 | Acculab Medical Testing Inc | Clinical Medical Laboratory | 2600 S Michigan Ave Ste 212, Chicago, IL 60616-2859 | 2016-09-01 |
| 1740733708 | Tempus Labs Inc. | Clinical Medical Laboratory | 600 W Chicago Ave Ste 510, Chicago, IL 60654 | 2016-07-26 |
| 1073978631 | Southshore Medi Lab Inc | Clinical Medical Laboratory | 4651 W 79th St Ste 204, Chicago, IL 60652-1775 | 2015-12-28 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.