Organization Active NPI

Prism Health Lab USA Inc

Doing business as Prism Health Lab

  • Clinical Pathology/Laboratory Medicine Physician
  • Chicago, IL
National Provider Identifier
1639985468
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
PRISM HEALTH LAB USA INC
Doing business as
Prism Health Lab
Practice address
33 W Grand Ave Ste 500
Chicago, IL 60654-6799
Phone
(800) 325-1812
NPI assigned
Dec 6, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Zul Kapadia
Title
Director/President
Phone
(800) 325-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU Primary

Addresses

Primary practice location

33 W Grand Ave Ste 500
Chicago, IL 60654-6799

Mailing address

6505 N Longmeadow Ave
Lincolnwood, IL 60712-3205

Other names 1

  • PRISM HEALTH LAB Doing business as

National Provider Directory

National Provider Directory

Locations

33 W Grand Ave
Ste 500
Chicago, IL 60654
Phone (800) 325-1812

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1639985468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 N LONGMEADOW AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W GRAND AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546799",
            "telephone_number": "800-325-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM HEALTH LAB USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "ZUL",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "800-325-1812"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRISM HEALTH LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 6, 2024; 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.