Organization Active NPI

US Diagnostics Lab Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1598953390
Registry record updated Oct 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D1068598 Issued in IL
Legal business name
US DIAGNOSTICS LAB INC
Practice address
7337 N Western Ave Ste 3
Chicago, IL 60645-1813
Phone
(773) 465-1199
Fax
(773) 465-1188
NPI assigned
Oct 6, 2007
Last updated
Oct 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2007

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

Authorized official

Name
Shakeel Ahmed, B.S
Title
President
Phone
(773) 465-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14D1068598 IL Primary

Addresses

Primary practice location

7337 N Western Ave Ste 3
Chicago, IL 60645-1813

Mailing address

7337 N Western Ave Ste 3
Chicago, IL 60645-1813
Phone (773) 465-1199

National Provider Directory

National Provider Directory

Locations

7337 N Western Ave
#3
Chicago, IL 60645
Phone (773) 465-1199

7337 N Western Ave
Ste 3
Chicago, IL 60645
Phone (773) 465-1199

NPI Registry JSON

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

{
    "created_epoch": "1191628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191628800000",
    "number": "1598953390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 N WESTERN AVE STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451813",
            "telephone_number": "773-465-1199",
            "fax_number": "773-465-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 N WESTERN AVE STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451813",
            "telephone_number": "773-465-1199",
            "fax_number": "773-465-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DIAGNOSTICS LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-06",
        "last_updated": "2007-10-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAKEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-465-1199",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D1068598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 6, 2007; 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.