Organization Active NPI

GC Labs Inc

  • Laboratory Management Specialist/Technologist
  • Chicago, IL
National Provider Identifier
1972258192
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X
Legal business name
GC LABS INC
Practice address
5012 N Sheridan Rd
Chicago, IL 60640-3118
Phone
(312) 927-7860
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Mr. Mujeeb U Khaja, BSC
Title
Owner
Phone
(312) 927-7860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Laboratory Management Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246QL0900X Primary

Addresses

Primary practice location

5012 N Sheridan Rd
Chicago, IL 60640-3118

Mailing address

5012 N Sheridan Rd
Chicago, IL 60640-3118
Phone (312) 927-7860

Other names 1

  • GLOBE CHICAGO INC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1972258192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403118",
            "telephone_number": "312-927-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403118",
            "telephone_number": "312-927-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GC LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "MUJEEB",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-927-7860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLOBE CHICAGO INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 16, 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.