Medical Assay Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

14D1044662 Issued in IL

Legal business name

MEDICAL ASSAY LABORATORY

Practice address

6006 S Cass Ave Ste a
Westmont, IL 60559-2780

Phone

(630) 515-0418

Fax

(630) 515-0417

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christapher I Chalokwu, PH.D.

Title

Administrator

Phone

(630) 515-0418

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1760414221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 S CASS AVE STE A",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592780",
            "telephone_number": "630-515-0418",
            "fax_number": "630-515-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 S CASS AVE STE A",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592780",
            "telephone_number": "630-515-0418",
            "fax_number": "630-515-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSAY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "CHALOKWU",
        "authorized_official_first_name": "CHRISTAPHER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-515-0418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D1044662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200812370A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "02232809",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maris Faye McIntyre, D.O.
• McKay Chiropractic & Sports Therapy
• Ross Lee McKay, D.C.
• Kalee McKenna, PA-C
• Holly McMurray, PT, DPT
• Amee K Mehta, M.D
• Krimaben Mehta
• Steven Mejia
• Morgan Melquist
• Cristina Maria Melvin, MSW INTERN

• Clinical Medical Laboratory in Westmont, IL
• Providers in Westmont, 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 Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.