South Chicago Lab Limited

Primary specialty

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

Legal business name

SOUTH CHICAGO LAB LIMITED

Practice address

10500 Southwest Hwy Ste C
Chicago Ridge, IL 60415-2805

Phone

(815) 440-9285

NPI assigned

Feb 8, 2021

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karthik V Achari, RN

Title

RN

Phone

(630) 991-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTH CHICAGO LAB LIMITED Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Abu Shaqra, DOCTOR, PHD

  • Clinical Laboratory Director (Non-physician)
  • Chicago, IL
  • NPI 1144816356

  Single Specialty

  NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1679165039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 SOUTHWEST HWY STE C",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152805",
            "telephone_number": "630-991-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 SOUTHWEST HWY STE C",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152805",
            "telephone_number": "815-440-9285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10500 Southwest Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Chicago Ridge",
            "state": "IL",
            "postal_code": "604152805",
            "country_code": "US",
            "telephone_number": "630-991-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CHICAGO LAB LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "ACHARI",
        "authorized_official_first_name": "KARTHIK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "630-991-8787",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH CHICAGO LAB LIMITED",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ava Silva
• Rachel Marie Simoes, PA-S
• Kimberly Sisk
• Smiles Par Excellence PC
• Sabrina Smith
• Kristina Southerland, FNP
• Southwest Counseling Center
• Southwest Medical Affiliates, PC
• George Ilija Sreckovic, M.D.
• Veronica Sroka

• Clinical Laboratory Director (Non-physician) in Chicago Ridge, IL
• Providers in Chicago Ridge, 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 Jul 10, 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.