Midwest Lab Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MIDWEST LAB SERVICES INC

Practice address

3033 Ogden Ave Ste 202
Lisle, IL 60532-1976

Phone

(224) 806-8373

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Mohammed Azam Hassan

Title

MD

Phone

(224) 806-8373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1508536970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE STE 202",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321976",
            "telephone_number": "224-806-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE STE 202",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321976",
            "telephone_number": "224-806-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST LAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MOHAMMED AZAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "224-806-8373"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Lisle, IL
• Providers in Lisle, 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 27, 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.