Organization Active NPI

Cardinal Labs LLC

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1780453712
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CARDINAL LABS LLC
Practice address
6 E Monroe St Apt 500
Chicago, IL 60603-2741
Phone
(630) 349-0180
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Charles Johnson
Title
Owner
Phone
(312) 502-0890

Specialties & licenses 1

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

Addresses

Primary practice location

6 E Monroe St Apt 500
Chicago, IL 60603-2741

Mailing address

6 E Monroe St Apt 500
Chicago, IL 60603-2741
Phone (630) 349-0180

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1780453712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E MONROE ST APT 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032741",
            "telephone_number": "630-349-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E MONROE ST APT 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032741",
            "telephone_number": "630-349-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-502-0890"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "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 Jan 2, 2024; 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.