NPIMap

Organization Active NPI

Chicago City of

Doing business as South Austin Specialty Clinic

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1750745816
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CHICAGO CITY OF
Doing business as
South Austin Specialty Clinic
Practice address
4909 W Division St
Room 41
Chicago, IL 60651-3161
Phone
(312) 746-4271
Fax
(312) 746-4637
NPI assigned
Apr 5, 2016
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Joyce Morris
Title
Project Administrator
Phone
(312) 747-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4909 W Division St
Room 41
Chicago, IL 60651-3161

Mailing address

4909 W Division St
Room 41
Chicago, IL 60651-3161
Phone (312) 746-4271

Other names 1

  • South Austin Specialty Clinic Doing business as

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
14D0646583Chicago Dept of Public HLTH - Austin Sti Clinic4909 W Division St - Suite 411, Chicago, IL 60651ComplianceOct 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Chicago Dept of Health63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4909 W Division St
Rm 41
Chicago, IL 60651
Phone (312) 746-4271

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1750745816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 W DIVISION ST",
            "address_2": "ROOM 41",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513161",
            "telephone_number": "312-746-4271",
            "fax_number": "312-746-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 W DIVISION ST",
            "address_2": "ROOM 41",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513161",
            "telephone_number": "312-746-4271",
            "fax_number": "312-746-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CITY OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PROJECT ADMINISTRATOR",
        "authorized_official_telephone_number": "312-747-9545"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Austin Specialty Clinic",
            "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 Apr 5, 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.