Platinum Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PLATINUM LABORATORY INC

Practice address

4752 W Peterson Ave
Chicago, IL 60646-5706

Phone

(773) 807-4508

Fax

(847) 696-8488

NPI assigned

Aug 17, 2022

Organization subpart

No

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

Authorized official

Name

Unknown Mohammed Kaleem

Title

Authorized Official

Phone

(773) 807-4508

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1851019715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4752 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465706",
            "telephone_number": "773-807-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4752 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465706",
            "telephone_number": "773-807-4508",
            "fax_number": "847-696-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED KALEEM",
        "authorized_official_first_name": "UNKNOWN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "773-807-4508"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plastic Surgery Chicago, LLC
• Plastic Surgery Clinic of Chicago LLC
• Aura K Platakis, PHARMD
• Leonidas Platanias, MD
• Platinum Diagnostic, LLC
• Platinum Medical Associates, LTD
• Platinum Strength LLC
• Platiquemos Therapy PLLC
• Andrea Susan Platt, PH.D.
• Blake Joseph Platt

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, 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 20, 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.