Active NPI
Lte Preventive Health Systems, Inc.
- Clinical Medical Laboratory
- Chicago, IL
National Provider Identifier
1922706928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LTE PREVENTIVE HEALTH SYSTEMS, INC.
- Practice address
- 559 W 103Rd St
Chicago, IL 60628-2403 - Phone
- (855) 357-2683
- NPI assigned
- Feb 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig Flowers, MD
- Title
- Ceo
- Phone
- (708) 351-9113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
559 W 103Rd St
Chicago, IL 60628-2403
Mailing address
9836 S Hoxie Ave
Chicago, IL 60617-5322
Phone (708) 351-9113
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1922706928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9836 S HOXIE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606175322",
"telephone_number": "708-351-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 W 103RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606282403",
"telephone_number": "855-357-2683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LTE PREVENTIVE HEALTH SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-19",
"status": "A",
"authorized_official_last_name": "FLOWERS",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "708-351-9113",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"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 Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.