Organization Active NPI

Nisha Fatima Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1851987044
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NISHA FATIMA INC
Practice address
2335 W Devon Ave Ste 211
Chicago, IL 60659-5501
Phone
(773) 440-5734
NPI assigned
Dec 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Authorized official

Name
Nisha Fatima
Title
President
Phone
(773) 440-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2335 W Devon Ave Ste 211
Chicago, IL 60659-5501

Mailing address

7034 N Kenton Ave
Lincolnwood, IL 60712-2125
Phone (773) 440-5734

National Provider Directory

National Provider Directory

Locations

2335 W Devon Ave
Ste 211
Chicago, IL 60659
Phone (773) 440-5734

NPI Registry JSON

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607731200000",
    "number": "1851987044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 N KENTON AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122125",
            "telephone_number": "773-440-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 W DEVON AVE STE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595501",
            "telephone_number": "773-440-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA FATIMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-12",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A",
        "authorized_official_last_name": "FATIMA",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-440-5734"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "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 Dec 12, 2020; 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.