Labpro Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABPRO INC

Practice address

7444 W Wilson Ave Ste 103
Harwood Heights, IL 60706-4549

Phone

(630) 548-7887

Fax

(708) 831-4253

NPI assigned

Dec 20, 2010

Last updated

Sep 17, 2018By 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

Elliott Latinik

Title

President

Phone

(630) 527-6100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1154624799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 W WILSON AVE STE 103",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607064549",
            "telephone_number": "630-548-7887",
            "fax_number": "708-831-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 W WILSON AVE STE 103",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607064549",
            "telephone_number": "630-548-7887",
            "fax_number": "708-831-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABPRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "LATINIK",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-527-6100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "14D2025730",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "14D2015890",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomasz Kaczor, PHARMD
• Agnes F Kaspa
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• Iryna Korkovetska, MS, RDN
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• Clinical Medical Laboratory in Harwood Heights, IL
• Providers in Harwood Heights, 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 Sep 17, 2018; 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.