Organization Active NPI

Lovebird Mobile Lab LLC

  • Clinical Medical Laboratory
  • Matteson, IL
National Provider Identifier
1083361844
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LOVEBIRD MOBILE LAB LLC
Practice address
4350 Lincoln Hwy Ste 200
Matteson, IL 60443-3084
Phone
(708) 580-6956
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Gloria BakerNPI 1881190387
Title
Owner
Phone
(708) 580-6956

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4350 Lincoln Hwy Ste 200
Matteson, IL 60443-3084

Mailing address

1921 Ridge Rd Unit 1356
Homewood, IL 60430-4662

Other names 1

  • Lovebird Mobile Lab LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1083361844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 RIDGE RD UNIT 1356",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 LINCOLN HWY STE 200",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433084",
            "telephone_number": "708-580-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVEBIRD MOBILE LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-580-6956"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovebird Mobile Lab LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.