NPIMap

Organization Active NPI

Nexus Lab 2.0, LLC

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1932456795
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEXUS LAB 2.0, LLC
Practice address
2835 N Sheffield Ave
Suite 312
Chicago, IL 60657-5081
Phone
(270) 866-4931
Fax
(773) 904-7240
NPI assigned
Aug 12, 2012
Organization subpart
Yes
Parent organization
PREMIERTOX 2.0, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Eric Duncan
Title
Chief Executive Officer
Phone
(859) 368-9504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2835 N Sheffield Ave
Suite 312
Chicago, IL 60657-5081

Mailing address

PO Box 1038
Frankfort, KY 40602-1038
Phone (502) 226-3858

Other names 1

  • Nexus Chicago Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nexus Lab 20 LLC5 organizations share this tax ID, including this one
Part of
Premiertox Lab Albany

Other organizations with this tax ID 4

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

Locations

2835 N Sheffield Ave
Ste 312
Chicago, IL 60657
Phone (270) 866-4931

NPI Registry JSON

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1932456795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406021038",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE",
            "address_2": "SUITE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575081",
            "telephone_number": "270-866-4931",
            "fax_number": "773-904-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS LAB 2.0, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIERTOX 2.0, INC.",
        "enumeration_date": "2012-08-12",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "859-368-9504"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2013; 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.