Organization Active NPI

Zoom Lab Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1184379422
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ZOOM LAB INC
Practice address
2721 W Peterson Ave Ste 108
Chicago, IL 60659-3919
Phone
(773) 829-1007
NPI assigned
Feb 15, 2022
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Arif Ismailbhai Patel
Title
Owner
Phone
(773) 829-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2721 W Peterson Ave Ste 108
Chicago, IL 60659-3919

Mailing address

2721 W Peterson Ave Ste 108
Chicago, IL 60659-3919
Phone (773) 829-1007

National Provider Directory

National Provider Directory

Locations

2721 W Peterson Ave
Ste 108
Chicago, IL 60659
Phone (773) 829-1007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1184379422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 W PETERSON AVE STE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593919",
            "telephone_number": "773-829-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W PETERSON AVE STE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593919",
            "telephone_number": "773-829-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOOM LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ARIF",
        "authorized_official_middle_name": "ISMAILBHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-829-1007"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.