Great Lab Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GREAT LAB SERVICES INC

Practice address

6438 N Richmond St
Chicago, IL 60645-4363

Phone

(770) 906-6351

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Siraj Syed

Title

Ceo

Phone

(770) 906-6351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1154074482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 N RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 N RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454363",
            "telephone_number": "770-906-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SIRAJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-906-6351"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Great Paragon Health Care Inc.
• Great Paragon Health Care Inc.

• 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 27, 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.