Organization Active NPI

Lab Elite LLC

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1487258943
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LAB ELITE LLC
Practice address
5824 N Northwest Hwy
Chicago, IL 60631-2641
Phone
(312) 504-4808
NPI assigned
Nov 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Nikola Nozinic
Title
Ceo
Phone
(312) 504-4808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5824 N Northwest Hwy
Chicago, IL 60631-2641

Mailing address

5824 N. Northwest Highway
5824 N. Northwest Highway Chicago, Il 60631
Chicago, IL 60631
Phone (312) 504-4808

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nozinic@icloud.com Direct

National Provider Directory

National Provider Directory

Locations

5824 N Northwest Hwy
Chicago, IL 60631
Phone (312) 504-4808

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1487258943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 N. NORTHWEST HIGHWAY",
            "address_2": "5824 N. NORTHWEST HIGHWAY CHICAGO, IL 60631",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60631",
            "telephone_number": "312-504-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 N NORTHWEST HWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312641",
            "telephone_number": "312-504-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB ELITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "NOZINIC",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-504-4808"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nozinic@icloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5824 N Northwest Hwy",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606312641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 25, 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.