O'Hare Clinical Lab Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

14D1051792 Issued in IL

Legal business name

O'HARE CLINICAL LAB SERVICES INC

Doing business as

OCL Labs, Inc.

Practice address

4909 W Division St Ste 303
Chicago, IL 60651-3161

Phone

(800) 839-2095

Fax

(800) 761-3075

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed Sirajudeen

Title

President

Phone

(773) 552-1355

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OCL Labs, Inc. Doing business as

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1023053691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 206",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681342",
            "telephone_number": "800-839-2095",
            "fax_number": "800-761-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 W DIVISION ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513161",
            "telephone_number": "800-839-2095",
            "fax_number": "800-761-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'HARE CLINICAL LAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "SIRAJUDEEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-552-1355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D1051792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S IL",
            "identifier": "09932450",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "P00397462",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCL Labs, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OCL Labs, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison O'Hara, PSYD
• Jessie Marie O'Hara
• Madeline O'Hara
• Meaghan O'Hara
• Shannon M O'Hara
• O'Hare Dental Group
• Suzanna Dee O'Hare, PT, DPT
• Terence Eamon O'Hare, M.D.
• Andrew Benedict O'Keefe Jr., DPM
• Bernadette M O'Keefe, LCSW

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.