Grace Lab Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GRACE LAB SERVICES INC

Practice address

6191 N Canfield Ave
Chicago, IL 60631-3845

Phone

(773) 763-7606

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Syed Asif Khundmir

Title

President

Phone

(773) 763-7606

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1912472358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 N CANFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313845",
            "telephone_number": "773-763-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 N CANFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313845",
            "telephone_number": "773-763-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE LAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "KHUNDMIR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ASIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-763-7606"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Center for Wellness LLC
• Grace H Lee DDS LTD
• Grace Heals
• Grace Integrated PLLC
• Grace Kelley Nutrition LLC
• Grace Medical Supplies Inc
• Grace Street Counseling PLLC
• Amberly Eden Grace
• Cameron Grace, PA-C
• Kristin M Grace, LCSW

• 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 Jan 6, 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.