Active NPI
Complete Lab Tests Inc
- Clinical Medical Laboratory
- Westmont, IL
National Provider Identifier
1487966834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COMPLETE LAB TESTS INC
- Practice address
- 6601 S Cass Ave
Unit F
Westmont, IL 60559-3266 - Phone
- (630) 312-9502
- Fax
- (480) 553-8685
- NPI assigned
- Jul 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Jason Echevarria
- Title
- Owner
- Phone
- (480) 352-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | IL | Primary |
Addresses
Primary practice location
6601 S Cass Ave
Unit F
Westmont, IL 60559-3266
Mailing address
6601 S Cass Ave
Unit F
Westmont, IL 60559-3266
Phone (630) 312-9502
National Provider Directory
National Provider DirectoryLocations
6601 S Cass Ave
Ste F
Westmont, IL 60559
Phone (630) 312-9502
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Marysville, OH
- NPI 1386759181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278979200000",
"number": "1487966834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 S CASS AVE",
"address_2": "UNIT F",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605593266",
"telephone_number": "630-312-9502",
"fax_number": "480-553-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 S CASS AVE",
"address_2": "UNIT F",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605593266",
"telephone_number": "630-312-9502",
"fax_number": "480-553-8685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE LAB TESTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-13",
"status": "A",
"authorized_official_last_name": "ECHEVARRIA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-352-7070"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.