Spectrum Lab Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SPECTRUM LAB CORP

Practice address

7958 N Waukegan Rd
Niles, IL 60714-3220

Phone

(872) 330-2423

NPI assigned

Oct 22, 2021

Organization subpart

No

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

Authorized official

Name

Abdul A Mohammed

Title

President

Phone

(872) 330-2423

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1629732052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7958 N WAUKEGAN RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143220",
            "telephone_number": "872-330-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7958 N WAUKEGAN RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143220",
            "telephone_number": "872-330-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM LAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "872-330-2423"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sreedevi Sodanapalli, MD
• Richard E. Sofinski, O.D.
• Jean Solomon
• Joe A Sorisho, PHARMD.
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• Kurt E Stauff, O.D.
• Melody Steffen, RPH
• Phyllis Stern-Weisman, AUD, CCC-A, FAAA
• Samantha Stevens, MSOT

• Clinical Medical Laboratory in Niles, IL
• Providers in Niles, 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 Sep 27, 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.