Active NPI
Med Rush Clinical Lab Inc
- Clinical Medical Laboratory
- Des Plaines, IL
National Provider Identifier
1245996412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MED RUSH CLINICAL LAB INC
- Practice address
- 1631 Rand Rd
Des Plaines, IL 60016-3551 - Phone
- (773) 942-6351
- Fax
- (224) 938-9223
- NPI assigned
- Nov 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ali Parekh
- Title
- Managing Director
- Phone
- (773) 787-5378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1631 Rand Rd
Des Plaines, IL 60016-3551
Mailing address
1631 Rand Rd
Des Plaines, IL 60016-3551
Phone (773) 942-6351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220613000116 | IL | Part B Supplier - Independent Clinical Laboratory | 4082092523 | Practice locations: Des Plaines, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Med Rush Clinical Lab Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1265150080
Locations
1631 Rand Rd
Des Plaines, IL 60016
Phone (773) 942-6351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Lebanon, MO
- NPI 1205321171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1245996412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 RAND RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600163551",
"telephone_number": "773-942-6351",
"fax_number": "224-938-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 RAND RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600163551",
"telephone_number": "773-942-6351",
"fax_number": "224-938-9223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED RUSH CLINICAL LAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-12",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "PAREKH",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "773-787-5378"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.