FZ Medical Group Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FZ MEDICAL GROUP INC

Practice address

1645 S River Rd Ste 24
Des Plaines, IL 60018-2206

Phone

(224) 334-4744

NPI assigned

Nov 4, 2022

Organization subpart

No

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

Authorized official

Name

Abdul Mohammed

Title

Authorized Official

Phone

(872) 985-1654

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1851008296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S RIVER RD STE 24",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S RIVER RD STE 24",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182206",
            "telephone_number": "224-334-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "872-985-1654"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "5879165",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.fzmedicalgroupinc.com",
            "affiliation": "N",
            "address_1": "1645 S River Rd Ste 24",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600182206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Medical Laboratory in Des Plaines, IL
• Providers in Des Plaines, 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 8, 2023; 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.