Central Clinical Labs, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CENTRAL CLINICAL LABS, INC

Practice address

6858 W Archer Ave
Chicago, IL 60638-2341

Phone

(773) 788-1577

Fax

(773) 788-1579

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Imtiaz Ahmad

Title

President

Phone

(773) 788-1577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Cyril M Chrabot, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1982679668
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1447345830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382341",
            "telephone_number": "773-788-1577",
            "fax_number": "773-788-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382341",
            "telephone_number": "773-788-1577",
            "fax_number": "773-788-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CLINICAL LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-788-1577"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Cento
• Jennifer A Centore-Lober, PA C
• Central Addison Medical Group LLC
• Central Clearing Drugs Inc
• Central Clinic & Research Sciences Inc
• Central Home Inc
• Central Medical Specialists LLC
• Central Medical Specialists, LLC
• Central Nursing and Rehabilitation Center LLC
• Central Nursing Home LLC

• 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 Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.