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Southshore Medi Lab Inc
Clinical Medical Laboratory in Chicago, Illinois
NPI 1073978631

Southshore Medi Lab Inc is a Clinical Medical Laboratory based in Chicago, IL. Southshore Medi Lab Inc practices in Chicago, IL. The NPI Number for Southshore Medi Lab Inc is 1073978631 and holds a License No. 14D2104608 (Illinois).

The current practice location address for Southshore Medi Lab Inc is 4651 W 79Th St Ste 204, Chicago, IL and can be reached out via phone at 773-585-0480 and via fax at 773-585-0482.

Location: 4651 W 79Th St Ste 204, Chicago, IL, 60652-1775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073978631
Provider Name
Southshore Medi Lab Inc
Credential
Provider Entity Type
Organization
Address
4651 W 79Th St Ste 204, Chicago, IL, 60652-1775
Phone Number
773-585-0480
Fax Number
773-585-0482
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4651 W 79Th St Ste 204
City
Chicago
State
Illinois
Zip
60652-1775
Phone Number
773-585-0480
Fax Number
773-585-0482
person
Provider Business Mailing Address Details
Address
4651 W 79Th St Ste 204
City
Chicago
State
Illinois
Zip
60652-1775
Phone Number
773-585-0480
Fax Number
773-585-0482
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
14D2104608 (Illinois)
Definition
(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.
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