VITAL LABS INC (NPI# 1487260923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487260923 |
| Entity Type | Organization |
| Organization Name | VITAL LABS INC |
| Practice Address |
4176 W Montrose Ave Chicago IL 60641-2161 |
| Practice Telephone | 7736543069 |
| Mailing Telephone | 7736543069 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | FAKHRA SHAFI (MANAGING DIRECTOR) |
| Authorized Official Telephone | 7736543069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
4176 W MONTROSE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295782431 | Rusalina C. Muntean-mincu | Internal Medicine | 4176 W Montrose Ave, Chicago, IL 60641-2161 | 2006-05-30 |
| 1437311701 | Derrick D Wallery | Chiropractor | 4176 W Montrose Ave, Chicago, IL 60641-2161 | 2008-06-27 |
| 1639395296 | Fernando Perez | Chiropractor | 4176 W Montrose Ave, Chicago, IL 60641-2161 | 2007-04-18 |
| 1508945106 | Lorena Ramirez | Chiropractor | 4176 W Montrose Ave, Chicago, IL 60641-2161 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778487 | Special Friend Laboratory LLC | Clinical Medical Laboratory | 9212 S Commercial Ave, Chicago, IL 60617-4508 | 2020-04-10 |
| 1346886058 | Kc Med Labratory | Clinical Medical Laboratory | 7518 S Ridgeland Ave, Chicago, IL 60649-3907 | 2019-11-18 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1063991735 | Omni Laboratory Services | Clinical Medical Laboratory | 5862 N Lincoln Ave Ste C2, Chicago, IL 60659-4628 | 2018-08-13 |
| 1992299119 | Lumi Diagnostics LLC | Clinical Medical Laboratory | 2222 W Division St Ste 220, Chicago, IL 60622-3094 | 2018-06-20 |
| 1821526328 | Abc Labs | Clinical Medical Laboratory | 6449 S Pulaski Rd Ste 108, Chicago, IL 60629-5148 | 2017-05-27 |
| 1780132068 | Trisys Medical Group | Clinical Medical Laboratory | 900 N Franklin St Ste 407, Chicago, IL 60610-3168 | 2016-09-15 |
| 1699222000 | Acculab Medical Testing Inc | Clinical Medical Laboratory | 2600 S Michigan Ave Ste 212, Chicago, IL 60616-2859 | 2016-09-01 |
| 1740733708 | Tempus Labs Inc. | Clinical Medical Laboratory | 600 W Chicago Ave Ste 510, Chicago, IL 60654 | 2016-07-26 |
| 1073978631 | Southshore Medi Lab Inc | Clinical Medical Laboratory | 4651 W 79th St Ste 204, Chicago, IL 60652-1775 | 2015-12-28 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.