Northwest Labs LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTHWEST LABS LLC

Practice address

6506 N Albany Ave
Chicago, IL 60645-4104

Phone

(773) 407-4774

NPI assigned

Jan 22, 2022

Organization subpart

No

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

Authorized official

Name

Ather Syed

Title

Manager

Phone

(773) 407-4774

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1124770904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 N ALBANY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 N ALBANY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454104",
            "telephone_number": "773-407-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "ATHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-407-4774"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

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