Organization Active NPI

QC Phlebotomy Labs Inc

  • Phlebotomy Technician
  • Aurora, IL
National Provider Identifier
1053073049
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
QC PHLEBOTOMY LABS INC
Practice address
1723 Simms St Ste 202
Aurora, IL 60504-4703
Phone
(708) 963-9500
NPI assigned
Oct 7, 2021
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Qaiyim DrewNPI 1790456747
Title
Owner
Phone
(773) 732-2877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

1723 Simms St Ste 202
Aurora, IL 60504-4703

Mailing address

1723 Simms St Ste 202
Aurora, IL 60504-4703
Phone (773) 732-2877

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Https://qcphlebotomy.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2270769QC Phlebotomy Labs Inc1723 Simms # 202, Aurora, IL 60504Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Locations

1723 Simms St
Ste 202
Aurora, IL 60504
Phone (708) 963-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1053073049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 SIMMS ST STE 202",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044703",
            "telephone_number": "773-732-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 SIMMS ST STE 202",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044703",
            "telephone_number": "708-963-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC PHLEBOTOMY LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "QAIYIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-732-2877"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Https://qcphlebotomy.com",
            "affiliation": "N",
            "address_1": "1723 Simms St Ste 202",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605044703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.