Organization Active NPI

Scottlab, LTD.

  • Anatomic Pathology & Clinical Pathology Physician
  • Harvey, IL
National Provider Identifier
1639628225
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
14D2118158 Issued in IL
Legal business name
SCOTTLAB, LTD.
Practice address
71 W 156TH St Ste 206a
Harvey, IL 60426
Phone
(312) 794-7772
Fax
(773) 649-3138
NPI assigned
Sep 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Rana S Saifan, STAFF
Title
Assistant
Phone
(773) 649-3099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 14D2118158 IL Primary
Clinical Medical Laboratory 291U00000X 14D2118158 IL

Addresses

Primary practice location

71 W 156TH St Ste 206a
Harvey, IL 60426

Mailing address

71 W 156TH St Ste 206a
Harvey, IL 60426-4262
Phone (773) 649-3099

National Provider Directory

National Provider Directory

Locations

3916 N Broadway St
Chicago, IL 60613
Phone (773) 649-3099

71 W 156th St
Ste 206A
Harvey, IL 60426
Phone (312) 794-7772

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1639628225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W 156TH ST STE 206A",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264262",
            "telephone_number": "773-649-3099",
            "fax_number": "773-649-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 156TH ST STE 206A",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "312-794-7772",
            "fax_number": "773-649-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTLAB, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "SAIFAN",
        "authorized_official_first_name": "RANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "773-649-3099",
        "authorized_official_credential": "STAFF"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "14D2118158",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D2118158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.