Medlab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

14D1071933 Issued in IL

Legal business name

MEDLAB INC

Practice address

35 Gaylord St
Elk Grove Village, IL 60007-1104

Phone

(847) 979-8184

Fax

(847) 979-8284

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Arshadullah Syed

Title

President

Phone

(630) 677-5272

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1154515377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GAYLORD ST",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071104",
            "telephone_number": "847-979-8184",
            "fax_number": "847-979-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GAYLORD ST",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071104",
            "telephone_number": "847-979-8184",
            "fax_number": "847-979-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "ARSHADULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-677-5272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D1071933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "215612",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1071933",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William James McSweeney Jr., D,D,S,
• Me and My Doctor, LTD
• Medical Care Partners LLC
• Medical Shipment, LLC
• Meditech Clinical Services, Inc.
• Eldon Harker Meeks, D.C.
• Anurag Mehrotra, M.D.
• Zachary J Meier, ATC
• Phyllis Linda Melnick, B.A.
• Ramit Mendi, MD.

• Clinical Medical Laboratory in Elk Grove Village, IL
• Providers in Elk Grove Village, 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 Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.