My Covid Test Express, LLC

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

MY COVID TEST EXPRESS, LLC

Practice address

1750 N California Ave
Chicago, IL 60647-5104

Phone

(313) 308-0393

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Francis Pena

Title

Project Manager

Phone

(829) 341-2498

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1669046306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475104",
            "telephone_number": "313-308-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY COVID TEST EXPRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "829-341-2498"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Art Therapy Studio, PLLC
• My Body Mechanic, LLC
• My Choice Medical
• My Choice Medical
• My Clarity Speech Therapy Professional Limited Liability Company
• My Doc S.C.
• My Doctor P C
• My Home Nurses LLC
• My Home Nurses LLC
• My Pediatrics Associates LLC

• Clinical Laboratory Director (Non-physician) in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Laboratory Director (Non-physician) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.