Organization Active NPI

Meredith'S Care Partners LLC

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1407556384
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEREDITH'S CARE PARTNERS LLC
Practice address
11130 S Western Ave # Store1
Chicago, IL 60643-3963
Phone
(773) 941-8665
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Erica WilsonNPI 1972231967
Title
Owner
Phone
(773) 941-8665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11130 S Western Ave # Store1
Chicago, IL 60643-3963

Mailing address

11526 S Longwood Dr
Chicago, IL 60643-4828

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2232905Meredith'S Care Partners LLC11130 S Western Ave, Chicago, IL 60643Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Meredith'S Care Partners LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11130 S Western Ave
Ste 1
Chicago, IL 60643
Phone (773) 941-8665

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": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1407556384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11526 S LONGWOOD DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 S WESTERN AVE # STORE1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433963",
            "telephone_number": "773-941-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH'S CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-941-8665"
    },
    "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 Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.