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PHYSICIANS LABORATORY LLC NPI 1265737787


NPI Information

NPI: 1265737787
Provider Name: PHYSICIANS LABORATORY, LLC
Classification: Supports Brokerage - 251X00000X
Entity Type: Organization

CLIA Number: 14D1058081

Address:
1410 W FULTON ST
SUITE 204
CHICAGO, IL
ZIP 60607
Phone: (312) 262-4600
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PHYSICIANS LABORATORY, LLC is a supports brokerage in Chicago, IL. The provider is a provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. PHYSICIANS LABORATORY, LLC NPI is 1265737787. The provider is registered as an organization entity type.

The provider's business location address is:

1410 W FULTON ST
SUITE 204
CHICAGO, IL
ZIP 60607-110
Phone: (312) 262-4600
Fax: (312) 262-4531

The provider's authorized official is William Navas .
The authorized official title is President and has the following contact phone number (312) 262-4600.

The CLIA number assigned to this NPI record is 14D1058081 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/13/2011 and was last updated on 1/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251X00000XSupports BrokerageYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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