Elite Pathology Lab Inc

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

ELITE PATHOLOGY LAB INC

Practice address

3744 W North Ave
Chicago, IL 60647-4727

Phone

(630) 889-9889

NPI assigned

Dec 6, 2017

Last updated

Dec 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Chua, MDNPI 1346241585

Title

President

Phone

(630) 889-9889

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• David C Chua, MD

  • Gastroenterology Physician
  • Oakbrook Terrace, IL
  • NPI 1346241585
  Authorized official Same address or phone
• Ofelia S Ruiz, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
  • NPI 1912093014
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1063927572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3363",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223363",
            "telephone_number": "630-889-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474727",
            "telephone_number": "630-889-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PATHOLOGY LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-889-9889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Mediride LLC
• Elite Optical Look Dba Pearle Vison
• Elite Orthopaedics and Sports Medicine, LLC
• Elite Pain & Spine PLLC
• Elite Pain LTD
• Elite Practitioner LLC
• Elite Rehab Services (ERS Rehab)
• Elite Surgical Assisting LLC
• Elite Testing LLC
• Elite Therapy Group, Inc

• Clinical Pathology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.