Unilab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA14D0646585

Legal business name

UNILAB INC

Practice address

418 N Austin Blvd
#2A
Oak Park, IL 60302-2752

Phone

(708) 848-1556

Fax

(708) 848-1737

NPI assigned

Sep 7, 2006

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ritesh Shah

Title

Owner

Phone

(919) 341-1255

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Unilab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Unilab Inc

  • Clinical Medical Laboratory
  • Troy, MI
  • NPI 1427769033
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vero Diagnostics

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1225685613

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dipesh A Shah, P.T.

  • Physical Therapist
  • Mobile, AL
  • NPI 1679580021
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1912000308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N AUSTIN BLVD",
            "address_2": "#2A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022752",
            "telephone_number": "708-848-1556",
            "fax_number": "708-848-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N AUSTIN BLVD",
            "address_2": "#2A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022752",
            "telephone_number": "708-848-1556",
            "fax_number": "708-848-1737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1663 Stephenson Hwy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480832169",
            "country_code": "US",
            "telephone_number": "251-767-5999",
            "fax_number": "708-848-1737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNILAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RITESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-341-1255"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "CLIA14D0646585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100394470A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin Delores Tyler
• Nnenna Udensi
• Catherine Anne Uglietta, PA-C
• Uhs of Hartgrove, Inc (Oak Park Counseling Center)
• Gina Theresa Ulrich, MA CCC/SLP
• Universal Podiatry LLC
• University Pain Physicians LLC
• Jasmine Leinani Upchurch
• Sherri Noelle Uqdah, MA
• Urban Home Physicians, Inc.

• Clinical Medical Laboratory in Oak Park, IL
• Providers in Oak Park, 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 Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.