NPIMap

Organization Active NPI

Acculab Medical Testing Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1699222000
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
097.000815 Issued in IL
Legal business name
ACCULAB MEDICAL TESTING INC
Practice address
2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859
Phone
(312) 939-3535
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Mr. Warren Cooper
Title
President
Phone
(312) 939-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 097.000815 IL Primary

Addresses

Primary practice location

2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859

Mailing address

2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859
Phone (312) 939-3535

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1036168Direct Med Health Services2600 S Michigan Ave - Ste 410, Chicago, IL 60616Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1699222000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162859",
            "telephone_number": "312-939-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162859",
            "telephone_number": "312-939-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCULAB MEDICAL TESTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-939-3535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "097.000815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.