Organization Active NPI

Vistalink Health Labs-Chicago LLC

Doing business as ClinicCare Laboratories LLC

  • Clinical Medical Laboratory
  • Lincolnshire, IL
National Provider Identifier
1407561723
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VISTALINK HEALTH LABS-CHICAGO LLC
Doing business as
ClinicCare Laboratories LLC
Practice address
100 Tristate International Ste 240
Lincolnshire, IL 60069-4418
Phone
(276) 469-8925
NPI assigned
Jan 20, 2023
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Mr. David Fleming
Title
Ceo
Phone
(847) 951-1277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

100 Tristate International Ste 240
Lincolnshire, IL 60069-4418

Mailing address

100 Tristate International Ste 240
Lincolnshire, IL 60069-4418
Phone (833) 831-8163

Other identifiers 1

IdentifierTypeStateIssuer
14D2263706OtherILCLIA

Other names 1

  • ClinicCare Laboratories LLC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 Tristate International
Ste 240
Lincolnshire, IL 60069
Phone (276) 469-8925

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1407561723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRISTATE INTERNATIONAL STE 240",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694418",
            "telephone_number": "833-831-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRISTATE INTERNATIONAL STE 240",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694418",
            "telephone_number": "276-469-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTALINK HEALTH LABS-CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-951-1277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D2263706",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClinicCare Laboratories LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnshire, IL

Sources for this page

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