Evad Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EVAD LAB SERVICES LLC

Practice address

2302 Wright Ave
North Chicago, IL 60064-3123

Phone

(224) 927-9201

Fax

(847) 656-2112

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Adam Mrowiec

Title

Lab Director

Phone

(224) 927-9201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1528611274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 WRIGHT AVE",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643123",
            "telephone_number": "224-927-9201",
            "fax_number": "847-656-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 WRIGHT AVE",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643123",
            "telephone_number": "224-927-9201",
            "fax_number": "847-656-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAD LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "MROWIEC",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "224-927-9201"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritu B Erickson, PHARM.D.
• Christopher Esparza
• James Estaver, MD
• Michel Esteban, RN
• Sherryl Estorque, APNP
• Shannon Lea Exley, M.S.
• Nkeiruka Jennifer Ezenduka, M.D.
• Joseph Denis Fahey, MS
• Philip Cyrus Fanapour, DO
• Chen Bo Fang, MD

• Clinical Medical Laboratory in North Chicago, IL
• Providers in North Chicago, 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 22, 2019; 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.