KC Med Labratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KC MED LABRATORY

Practice address

7518 S Ridgeland Ave
Chicago, IL 60649-3907

Phone

(708) 574-7727

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Kanisha CoxNPI 1063058774

Title

Owner

Phone

(708) 574-7727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanisha Cox

  • Phlebotomy Technician
  • Chicago, IL
  • NPI 1063058774
  NPD Authorized official

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1346886058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7518 S RIDGELAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493907",
            "telephone_number": "708-574-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7518 S RIDGELAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493907",
            "telephone_number": "708-574-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC MED LABRATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "KANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-574-7727"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KBC Consulting, PLLC
• Beylul Kbreab
• KC Care Inc
• KC Care Inc
• KC Management Group
• Sharada KC, MD
• Yixin Ke, LPC
• Emily A Kean, MBA, RDN, LDN
• Meghan Elisabeth Kean, PSY.D.
• Shannon Kean, MS CCC-SLP

• 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 Nov 18, 2019; 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.