Dupage Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DUPAGE LABS LLC

Practice address

1800 W Hawthorne LN Ste 205
West Chicago, IL 60185-1863

Phone

(630) 869-0835

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Shoaib Siddiqui

Title

Manager

Phone

(630) 400-5152

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1912650342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HAWTHORNE LN STE 205",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851863",
            "telephone_number": "630-869-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HAWTHORNE LN STE 205",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851863",
            "telephone_number": "630-869-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHOAIB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-400-5152"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in West Chicago, IL
• Providers in West 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 26, 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.