Clinicare Lab LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLINICARE LAB LTD

Practice address

11S270 S Jackson St Ste 103
Burr Ridge, IL 60527-6829

Phone

(630) 229-1280

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Yaser Dahklallah

Title

President

Phone

(630) 229-1280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1255071387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11S270 S JACKSON ST STE 103",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276829",
            "telephone_number": "630-229-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11S270 S JACKSON ST STE 103",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276829",
            "telephone_number": "630-229-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICARE LAB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "DAHKLALLAH",
        "authorized_official_first_name": "YASER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-229-1280"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kishore A Chugh, R.PH
• Katherine Ciannella, OTD, OTR/L
• Erika Claud, MD
• Clear Mind Mental Health LLC
• Clinical Hearing Services
• Community Consol SCH Dist 180
• William G Conrad, MD
• Caitlin Cook, PT, DPT
• Bridget Kathryn Corrigan
• Katherine Cunningham, LPC

• Clinical Medical Laboratory in Burr Ridge, IL
• Providers in Burr Ridge, 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 Mar 29, 2022; 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.

Verify at the official NPI Registry.