Organization Active NPI

Discover Lab Services LLC

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1386395259
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DISCOVER LAB SERVICES LLC
Practice address
3209 W Bryn Mawr Ave
Chicago, IL 60659
Phone
(773) 865-9587
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Shaban Beharovic
Title
Owner
Phone
(773) 865-9587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3209 W Bryn Mawr Ave
Chicago, IL 60659

Mailing address

3209 W Bryn Mawr Ave
Chicago, IL 60659
Phone (224) 333-1892

National Provider Directory

National Provider Directory

Locations

3209 W Bryn Mawr Ave
Chicago, IL 60659
Phone (773) 865-9587

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1386395259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W BRYN MAWR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "224-333-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W BRYN MAWR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-865-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "BEHAROVIC",
        "authorized_official_first_name": "SHABAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-865-9587"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.