Preferred Lab Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREFERRED LAB SERVICES INC

Practice address

742 Barclay Dr
Bolingbrook, IL 60440-6106

Phone

(630) 696-1700

NPI assigned

Jan 23, 2022

Last updated

Jan 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ayaan Khan

Title

MD

Phone

(630) 696-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642896000000",
    "number": "1457003279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 BARCLAY DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406106",
            "telephone_number": "630-696-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 BARCLAY DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406106",
            "telephone_number": "630-696-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED LAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AYAAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-696-1700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Bolingbrook, 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 Jan 23, 2022; 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.