Organization Active NPI

Gotham Lab Services LLC

  • Counselor
  • Matteson, IL
National Provider Identifier
1487596193
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GOTHAM LAB SERVICES LLC
Practice address
4018 Charleston Rd Apt 2N
Matteson, IL 60443-2674
Phone
(312) 550-2573
Fax
(888) 253-2417
NPI assigned
Apr 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Mr. Byron Louis Taylor I, COUNSELORNPI 1952242737
Title
Owner
Phone
(312) 550-2573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

4018 Charleston Rd Apt 2N
Matteson, IL 60443-2674

Mailing address

4018 Charleston Rd Apt 2N
Matteson, IL 60443-2674
Phone (312) 550-2573

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1487596193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 CHARLESTON RD APT 2N",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432674",
            "telephone_number": "312-550-2573",
            "fax_number": "888-253-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 CHARLESTON RD APT 2N",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432674",
            "telephone_number": "312-550-2573",
            "fax_number": "888-253-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-550-2573",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.