MEDICARE: GC LABS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29483884848	OTHER	IL	OTHER

General Provider Information

NPI Number	:	1548903073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GC LABS INC

Provider Business Mailing Address
First Line	:	5012 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-3118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5012 N SHERIDAN RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-3118
Country	:	US
Telephone Number	:	847-786-8336
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	SYED ASHFAQ UDDIN
Credential	:
Telephone Number	:	872-325-8700

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	04/28/2025

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Directions to “GC LABS INC ” Practice Location

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