Chicago Laboratory Consultant LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CHICAGO LABORATORY CONSULTANT LLC

Practice address

111 N Wabash Ave Ste 1605
Chicago, IL 60602-3055

Phone

(872) 201-8236

NPI assigned

Apr 5, 2020

Organization subpart

No

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

Authorized official

Name

Syed Haque, MDNPI 1952940488

Title

Ceo & Scientific Director

Phone

(872) 201-8236

Specialties & licenses 1

Addresses

Other names 1

• ALC Diagnostics Doing business as

Tax ID family

Addiction Testing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Addiction Testing LLC

  • Clinical Medical Laboratory
  • Des Plaines, IL
  • NPI 1528754132
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Haque, MD

  • Family Medicine Physician
  • Des Plaines, IL
  • NPI 1952940488
  NPD (past) Authorized official

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1710516455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 E DEMPSTER ST STE 109",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165339",
            "telephone_number": "872-201-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023055",
            "telephone_number": "872-201-8236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2434 E Dempster St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600165339",
            "country_code": "US",
            "telephone_number": "872-201-8236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO LABORATORY CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-05",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "CEO & SCIENTIFIC DIRECTOR",
        "authorized_official_telephone_number": "872-201-8236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALC Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALC Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

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