Oak Lab Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OAK LAB SERVICES INC

Practice address

2414 W Devon Ave Apt 210
Chicago, IL 60659-1947

Phone

(224) 806-8373

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Mohammed Azam Hassan

Title

MD

Phone

(224) 806-8373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1194497495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 W DEVON AVE APT 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591947",
            "telephone_number": "224-806-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 W DEVON AVE APT 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591947",
            "telephone_number": "224-806-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MOHAMMED AZAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "224-806-8373"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oak Home Healthcare Inc.
• Oak Leaf Consulting Group, LLC
• Oak Park Dental Group
• Oak Street Health Physicians Group PC
• Oak Street Health Physicians Group, PC
• Oak Street Health: Edgewater

• 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.