Organization Active NPI

Big Image Laboratory

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1871247676
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIG IMAGE LABORATORY
Practice address
4001 W Devon Ave Ste 302
Chicago, IL 60646-4538
Phone
(773) 856-0214
NPI assigned
Feb 9, 2022
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Syed Sheeraz Mahmood
Title
President
Phone
(773) 807-7925

Specialties & licenses 1

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

Addresses

Primary practice location

4001 W Devon Ave Ste 302
Chicago, IL 60646-4538

Mailing address

4001 W Devon Ave Ste 302
Chicago, IL 60646-4538
Phone (773) 856-0214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1871247676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464538",
            "telephone_number": "773-856-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464538",
            "telephone_number": "773-856-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG IMAGE LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "SYED SHEERAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-807-7925"
    },
    "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 Feb 9, 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.