RT PCR Test Near Me Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RT PCR TEST NEAR ME INC

Practice address

7124 W 83Rd St Unit D
Bridgeview, IL 60455-4034

Phone

(708) 928-9007

Fax

(708) 221-8520

NPI assigned

Jan 2, 2022

Organization subpart

No

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

Authorized official

Name

Fnu Abdul Wahed

Title

Owner

Phone

(708) 928-9007

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pro Diagnostics Lab Doing business as

Locations

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1386305407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST UNIT D",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554034",
            "telephone_number": "708-928-9007",
            "fax_number": "708-221-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST UNIT D",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554034",
            "telephone_number": "708-928-9007",
            "fax_number": "708-221-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RT PCR TEST NEAR ME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-02",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "ABDUL WAHED",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-928-9007"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERT OF COMPLIANCE",
            "identifier": "14D2246682",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F300828629",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Diagnostics Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reems Clinic & Institute of Medicine S.C.
• Regional Diagnostics, LLC
• Rhonda I Khouri,D.D.S/P.S
• Monica Robles, LAT, ATC
• Cynthia Ann Ross, M.D.
• Edith Ruiz Saldivar, BPS, PHARMD
• Safeway Inc
• Mohammad Ali Salem, PTA
• Marwa Sayed
• Mohamed Shalabi, D.C.

• Clinical Medical Laboratory in Bridgeview, IL
• Providers in Bridgeview, 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 28, 2023; 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.