Rainbow Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RAINBOW LAB INC

Practice address

4001 W Devon Ave Ste 322
Chicago, IL 60646-4542

Phone

(779) 713-7137

Fax

(224) 252-6969

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Mahmood Khaja Syed

Title

President

Phone

(312) 998-7123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1053074757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 322",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464542",
            "telephone_number": "779-713-7137",
            "fax_number": "224-252-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 322",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464542",
            "telephone_number": "779-713-7137",
            "fax_number": "224-252-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "KHAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-998-7123"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Raiker
• Grace Elizabeth Raina, PT
• Mansi Raina, DMD
• Rainbow Beach Qoc, LLC
• Rainbow Heart Therapy PLLC
• Rainbow Lab Services Inc
• Rainbowtopia Counseling, PLLC
• John Martin Raine, L.C.P.C.
• Kiya R Raines
• Savannah L Raines, LSW

• 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 6, 2024; 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.