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1891062287 NPI number — LAB EXPRESS CORPORATION

NPI Number: 1891062287
Health Care Provider/Practitioner: LAB EXPRESS CORPORATION

Information about “1891062287” NPI (LAB EXPRESS CORPORATION) exists in 1891062287 in HTML format HTML  |  1891062287 in plain Text format TXT  |  1891062287 in PDF (Portable Document Format) PDF  |  1891062287 in an XML format XML  formats.

NPI Number : 1891062287 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891062287",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LAB EXPRESS CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5000 W 95TH ST STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK LAWN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60453-2402",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-907-5694",
    "MailingAddressFaxNumber": "708-634-4220",
    "FirstLinePracticeLocationAddress": "5000 W 95TH ST STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK LAWN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60453-2402",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-907-5694",
    "PracticeLocationAddressFaxNumber": "708-634-4220",
    "EnumerationDate": "11/29/2011",
    "LastUpdateDate": "10/11/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VILLAFANE",
    "AuthorizedOfficialFirstName": "BENJAMIN",
    "AuthorizedOfficialMiddleName": "T",
    "AuthorizedOfficialTitle": "GENERAL MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "708-907-5694",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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