Blvd Enterprises Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BLVD ENTERPRISES INC

Practice address

1942 W 87TH St
Chicago, IL 60620-6004

Phone

(708) 634-9761

Fax

(708) 634-9761

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Sean Brown, OWNER

Title

Owner

Phone

(708) 634-9761

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1326796228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 W 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606206004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 W 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606206004",
            "telephone_number": "708-634-9761",
            "fax_number": "708-634-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLVD ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-634-9761",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalin Blumhoff
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• Kayla Elise Blunt
• Trina Marie Blunt, D.D.S.
• BLW Optical, Inc
• Stacy Bly
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• Ashley N Blythe, RN
• Jeffrey Blythe, LCSW

• 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 Mar 10, 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.