Professional Labs Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROFESSIONAL LABS INCORPORATED

Practice address

222 N Columbus Dr
Chicago, IL 60601-7810

Phone

(909) 999-0994

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Kai Ying Cheng

Title

Manager

Phone

(909) 999-0994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1922772409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N COLUMBUS DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017810",
            "telephone_number": "909-999-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N COLUMBUS DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017810",
            "telephone_number": "909-999-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL LABS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2023-02-14",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "KAI",
        "authorized_official_middle_name": "YING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-999-0994"
    },
    "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 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 Feb 14, 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.

Verify at the official NPI Registry.