NPIMap

Organization Active NPI

Austin Medical Testing Corp

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1780323071
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AUSTIN MEDICAL TESTING CORP
Doing business as
Austin Medical Testing Corp
Practice address
5362 W Lawrence Ave Ste CW
Chicago, IL 60630-3659
Phone
(224) 406-1045
NPI assigned
Jun 3, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AUSTIN MEDICAL TESTING CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Amjad NaserNPI 1720721822
Title
President
Phone
(773) 747-7348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5362 W Lawrence Ave Ste CW
Chicago, IL 60630-3659

Mailing address

6112 W Lawrence Ave
Chicago, IL 60630-2940
Phone (224) 406-1045

Other names 1

  • Austin Medical Testing Corp Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austin Medical Testing Corp3 organizations share this tax ID, including this one
Part of
Austin Medical Testing Corp

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1780323071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302940",
            "telephone_number": "224-406-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5362 W LAWRENCE AVE STE CW",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303659",
            "telephone_number": "224-406-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN MEDICAL TESTING CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUSTIN MEDICAL TESTING CORP",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "NASER",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-747-7348"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Medical Testing Corp",
            "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 Jun 3, 2022; 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.