Organization Active NPI

Cytogenetics Consultants, Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1013154475
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D0950847 Issued in IL
Legal business name
CYTOGENETICS CONSULTANTS, INC
Practice address
2825 N Halsted St
Chicago, IL 60657-5105
Phone
(773) 472-4949
Fax
(773) 871-5221
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terri L Bakker
Title
Administrator
Phone
(312) 735-0976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14D0950847 IL Primary

Addresses

Primary practice location

2825 N Halsted St
Chicago, IL 60657-5105

Mailing address

2825 N Halsted St
Chicago, IL 60657-5105
Phone (773) 472-4949

Other identifiers 1

IdentifierTypeStateIssuer
14D0950847OtherILCLIA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1013154475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575105",
            "telephone_number": "773-472-4949",
            "fax_number": "773-871-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575105",
            "telephone_number": "773-472-4949",
            "fax_number": "773-871-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYTOGENETICS CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "BAKKER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-735-0976"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D0950847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0950847",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.