SOUTH CHICAGO LAB LIMITED NPI 1679165039

NPI Information

  • NPI: 1679165039
  • Provider Name: SOUTH CHICAGO LAB LIMITED
  • Classification: Pathology - 247ZC0005X
  • Specialization: Clinical Laboratory Director, Non-physician
  • Entity Type: Organization
  • Former Legal Business Name: SOUTH CHICAGO LAB LIMITED
  • Address: 10500 SOUTHWEST HWY STE C
    CHICAGO RIDGE, IL
    ZIP 60415
  • Phone: (815) 440-9285

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NPI Details

SOUTH CHICAGO LAB LIMITED is a clinical laboratory director and non-physician pathology in Chicago Ridge, IL. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. SOUTH CHICAGO LAB LIMITED NPI is 1679165039. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is South Chicago Lab Limited.

The provider's business location address is:

10500 SOUTHWEST HWY STE C
CHICAGO RIDGE, IL
ZIP 60415-805
Phone: (815) 440-9285

The provider's authorized official is Karthik V Achari .
The authorized official title is Rn and has the following contact phone number (630) 991-8787.

The enumeration date for this NPI number is 2/8/2021 and was last updated on 7/10/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247ZC0005XPathologyClinical Laboratory Director, Non-physicianYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NAMEDICAIDILLINOIS

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: 11/21/2025

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