Active NPI
Scottlab, LTD.
- Anatomic Pathology & Clinical Pathology Physician
- Harvey, IL
National Provider Identifier
1639628225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 14D2118158
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 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 DirectoryLocations
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Harvey, IL
- NPI 1336148899
-
- Hematology (Pathology) Physician
- Milwaukee, WI
- NPI 1467494161
Anatomic Pathology & Clinical Pathology
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.