NPIMap

Organization Active NPI

Accord Medical Labs of Al LLC

Doing business as Accord Medical Lab

  • Clinical Medical Laboratory
  • Birmingham, AL
National Provider Identifier
1609581891
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ACCORD MEDICAL LABS OF AL LLC
Doing business as
Accord Medical Lab
Practice address
2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317
Phone
(773) 817-5928
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Wajahatuddin Macci
Title
Owner
Phone
(773) 817-5928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317

Mailing address

343 N Wood Dale Rd Ste 201a
Wood Dale, IL 60191-1578
Phone (773) 817-5928

Other names 1

  • Accord Medical Lab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1609581891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 N WOOD DALE RD STE 201A",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911578",
            "telephone_number": "773-817-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091317",
            "telephone_number": "773-817-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORD MEDICAL LABS OF AL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "MACCI",
        "authorized_official_first_name": "WAJAHATUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-817-5928"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accord Medical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.