Nzjng LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NZJNG LLC

Practice address

5821 W Grand Ave
Chicago, IL 60639-2812

Phone

(773) 885-6397

NPI assigned

Jan 19, 2022

Last updated

Jan 19, 2022By 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

Melaine Gloria Lebron, CLIA CERIFICATION

Title

Director

Phone

(773) 885-6397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1104578335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 S HONORE ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094494",
            "telephone_number": "773-885-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392812",
            "telephone_number": "773-885-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NZJNG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "LEBRON",
        "authorized_official_first_name": "MELAINE",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-885-6397",
        "authorized_official_credential": "CLIA CERIFICATION"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 19, 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.