DIAGNOSTIC MEDICAL LABORATORY, INC. – NPI #1376685016
Specialist/Technologist, Pathology

DIAGNOSTIC MEDICAL LABORATORY, INC. is a technologist located in CHICAGO, IL. NPPES has assigned the NPI number 1376685016 to DIAGNOSTIC MEDICAL LABORATORY, INC. on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246QL0900X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management

The NPI profile was previously updated about 14 years ago on Feb 22, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIAGNOSTIC MEDICAL LABORATORY, INC. below.

NPI Profile for
DIAGNOSTIC MEDICAL LABORATORY, INC.

NPI Number
1376685016
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIAGNOSTIC MEDICAL LABORATORY, INC.
Doing Business As (dba): DIAGNOSTIC MEDICAL LABORATORY, INC.
Primary location
4554 N. BROADWAY STREET
SUITE 317
CHICAGO, IL 60640-5642
Phone: (773) 255-4959 Fax: (773) 506-0269
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH TENGBEH
LABORATORY DIRECTOR AND OWNER
Phone: (773) 255-4959
Updated
Identifiers

Identifiers for DIAGNOSTIC MEDICAL LABORATORY, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL20388576001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QL0900X
- Specialist/Technologist, Pathology / Laboratory Management (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.