City Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

14D2083891 Issued in IL

Legal business name

CITY LAB INC

Practice address

3415 Howard St Ste 102
Skokie, IL 60076-4011

Phone

(847) 324-9132

Fax

(847) 324-9134

NPI assigned

Oct 21, 2014

Last updated

Dec 11, 2014By 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

Shams Siddiqui

Title

President

Phone

(847) 324-9132

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1073917969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 HOWARD ST STE 102",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764011",
            "telephone_number": "847-324-9132",
            "fax_number": "847-324-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 HOWARD ST STE 102",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764011",
            "telephone_number": "847-324-9132",
            "fax_number": "847-324-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-324-9132"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D2083891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Cisneros-Frausto, MD
• Alice Cisneros, DPM
• Citadel of Skokie LLC (The Citadel of Skokie)
• Mirela Citu
• Roxana Mihaela Citu
• City Lab LLC
• Saundra D Claiborne, MD
• Crystal Faith Clair, MA, LPC
• Stephanie Claire Bright
• Clear Sounds Inc

• Clinical Medical Laboratory in Skokie, IL
• Providers in Skokie, 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 Dec 11, 2014; 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.