JUSTICE MED LAB (NPI# 1336291236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336291236 |
| Entity Type | Organization |
| Organization Name | JUSTICE MED LAB |
| Practice Address |
9050 W 81st St Justice IL 60458-1350 |
| Practice Telephone | 7085943500 |
| Practice Fax Number | 7085945171 |
| Mailing Telephone | 7085943500 |
| Mailing Fax Number | 7085945171 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | THEODORE CHRISTOU (MANAGER) |
| Authorized Official Telephone | 7085630330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 14D0982127 | IL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 01629953 | 01 |
| Street Address |
9050 W 81ST ST |
| City | JUSTICE |
| State | IL |
| Zip Code | 60458-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754865 | Palos Pathology Associates Ltd | Pathology | 9050 W 81st St, Justice, IL 60458-1350 | 2005-07-19 |
| 1376782474 | Forest Counseling Service Inc | Counselor | 9050 W 81st St, Justice, IL 60458-1350 | 2009-02-12 |
| 1942464664 | Pamela Gill | Physical Therapist | 9050 W 81st St, Justice, IL 60458-1350 | 2008-07-11 |
| 1225208986 | James A. Gianfrancisco Md Ltd | Colon & Rectal Surgery | 9050 W 81st St, Justice, IL 60458-1350 | 2008-03-09 |
| 1184815987 | Mary I. Pitaro, M.d., Ltd. | Clinic/Center | 9050 W 81st St, Justice, IL 60458-1350 | 2007-08-06 |
| 1083804033 | Theodore Christou | Internal Medicine | 9050 W 81st St, Justice, IL 60458-1350 | 2007-07-26 |
| 1518083674 | Selena Estka | Physical Therapist | 9050 W 81st St, Justice, IL 60458-1350 | 2007-03-21 |
| 1417083080 | Pam Eernisse Dpm Sc | Durable Medical Equipment & Medical Supplies | 9050 W 81st St, Justice, IL 60458-1350 | 2007-02-26 |
| 1184777823 | Justice Med-lab | Radiology | 9050 W 81st St, Justice, IL 60458-1350 | 2007-01-18 |
| 1225196124 | Mary Iria Pitaro | Internal Medicine | 9050 W 81st St, Justice, IL 60458-1350 | 2006-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303450 | Anne Wildman | Social Worker | 8641 W 75th St, Justice, IL 60458 | 2017-08-24 |
| 1932450558 | Caring Hands Health Care Agency | Nurse's Aide | 8761 W. 85th Street, Apt 205 Bldg 17, Justice, IL 60458 | 2012-09-21 |
| 1700902681 | Moira Josephine O'connell | Physical Therapy Assistant | 9050 W.81st Street, Justice, IL 60458 | 2007-03-22 |
| 1497889687 | Indian Springs Sch Dist 109 | Clinic/Center | 7540 South 86th Ave, Justice, IL 60458 | 2007-03-16 |
| 1467429233 | Willow Springs Surgery Center, Ltd | Clinic/Center | 9050 W. 81st Street, Justice, IL 60458 | 2006-03-01 |
| 1750944591 | Melissa Maturo | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2019-04-17 |
| 1235605692 | Patrice Leann Mahoney | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2018-10-23 |
| 1417474081 | Jamie Zimmer | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2017-08-24 |
| 1366552408 | Gregory Paul Schubert | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2006-08-30 |
| 1063682714 | Gregory P Schubert Dds Ltd | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2008-03-10 |
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| 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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| 1083232946 | Sjs Medical Labs, LLC D/b/a Arcpoint Labs of Libertyville | Clinical Medical Laboratory | 1659 Northwind Blvd, Libertyville, IL 60048-9613 | 2020-07-08 |
| 1922625961 | Abil Corporation | Clinical Medical Laboratory | 1375 Remington Rd Ste A, Schaumburg, IL 60173-4844 | 2020-06-25 |
| 1588280622 | Radiance Biosciences and Consultancy, LLC | Clinical Medical Laboratory | 1260 Iroquois Ave Ste 302, Naperville, IL 60563-8549 | 2020-06-24 |
| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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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.