Active NPI
Med Rush Clinical Lab Inc
- Multi-Specialty Clinic/Center
- Des Plaines, IL
National Provider Identifier
1265150080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- MED RUSH CLINICAL LAB INC
- Practice address
- 1631 Rand Rd
Des Plaines, IL 60016-3551 - Phone
- (773) 942-6351
- NPI assigned
- Aug 17, 2022
- 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) 942-6351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 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 |
|---|---|---|---|---|
| O20220831003378 | IL | Part B Supplier - Clinic/Group Practice | 4082092523 |
Receives reassigned benefits from 1 practitioner 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.
-
- Clinical Medical Laboratory
- Des Plaines, IL
- NPI 1245996412
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660694400000",
"number": "1265150080",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED RUSH CLINICAL LAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A",
"authorized_official_last_name": "PAREKH",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "773-942-6351"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"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 Aug 17, 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.