SJ.S. Medical Testing Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SJ.S. MEDICAL TESTING SERVICES

Practice address

350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262

Phone

(312) 391-2910

Fax

(847) 656-5395

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Samuel J Shifo

Title

Owner

Phone

(312) 391-2910

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1477170934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "312-391-2910",
            "fax_number": "847-656-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "312-391-2910",
            "fax_number": "847-656-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ.S. MEDICAL TESTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIFO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-391-2910"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sirotzki
• John Michael Sisto, D.D.S.
• Shoeb Jamaludin Sitafalwalla, M.D.
• Betty Siuba, M.S.
• Nikhita Sivagnanakumar, MD
• SJP Comprehensive Medicine Inc
• Philip Friere Skiba, D.O.
• Stacey Marie Sklepinski, MD
• Kelsey Erin Skorupa
• Shanahan Kathleen Slade

• Clinical Medical Laboratory in Park Ridge, IL
• Providers in Park Ridge, 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 Jul 21, 2020; 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.