Organization Active NPI

Covizone Labs Incorporated

  • Clinical Medical Laboratory
  • Park Ridge, IL
National Provider Identifier
1124771605
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COVIZONE LABS INCORPORATED
Practice address
712 Higgins Rd
Park Ridge, IL 60068-5716
Phone
(630) 302-1469
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Khaleeq Ahmed
Title
President
Phone
(630) 302-1469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

712 Higgins Rd
Park Ridge, IL 60068-5716

Mailing address

712 Higgins Rd
Park Ridge, IL 60068-5716
Phone (630) 302-1469

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1124771605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 HIGGINS RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685716",
            "telephone_number": "630-302-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 HIGGINS RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685716",
            "telephone_number": "630-302-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVIZONE LABS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KHALEEQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-302-1469"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.