R Laboratory Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

R LABORATORY INCORPORATED

Practice address

1127 S Mannheim Rd Ste 215
Westchester, IL 60154-2562

Phone

(708) 493-4111

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Edgar Ronquillo Redrico

Title

Owner

Phone

(708) 493-4111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1215263702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 S MANNHEIM RD STE 215",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542562",
            "telephone_number": "708-493-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 S MANNHEIM RD STE 215",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542562",
            "telephone_number": "708-493-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R LABORATORY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "REDRICO",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "RONQUILLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-493-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Care
• Louis E. Probst, M.D.
• Colleen Prouza
• Proviso TWP SCH Treas Office
• Evelyne Danielle Pullum
• Lester J. Raff, M.D.
• Ralph E. Ransford, D.D.S., LTD.
• Megan Randich, DPT
• Supreeti Rangan, NP-C
• Richard Adam Ransford, DMD

• Clinical Medical Laboratory in Westchester, IL
• Providers in Westchester, 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 Oct 19, 2009; 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.