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MIDWAY CLINIC SC
NPI 1104977446
Clinic/Center in Chicago, IL

Active since January 15, 2007CLIA 14D0426938 · Waiver
4940 S CICERO AVE, CHICAGO, IL 60638(773) 582-6800(773) 582-1380 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midway Clinic Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWAY CLINIC SC (NPI 1104977446) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Viktoras Dubinskas, Director, as its authorized official.

NPPES Registry Identity

NPI1104977446
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMIDWAY CLINIC SC
Location Address4940 S CICERO AVEChicago, IL 60638-2116
Mailing Address4940 S Cicero AveChicago, IL 60638-2116 · (773) 582-6800 · Fax (773) 582-1380
Phone(773) 582-6800
Fax(773) 582-1380
Organization SubpartNo
Authorized OfficialViktoras DubinskasDirector · (773) 582-6800
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 28, 2009
✔ NPI 1104977446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 036-032688
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4940 S CICERO AVE, Chicago, IL 60638
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Other Identifiers 3

Medicare UPINC40818IL
Medicaid036032688IL
Medicare PIN439350IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0426938

Midway Clinic · Chicago, IL
Active · expires Aug 31, 2026
CLIA Number14D0426938
Laboratory TypeIndustrial
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorViktoras Dubinskas
Laboratory Phone(773) 582-6800
Laboratory LocationMidway Clinic4940 S Cicero, Chicago, IL 60638
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INFINITE HEALTH AND WELLNESS, LTD
Clinic/Center (Medical Specialty)
4940 S CICERO AVE
CHICAGO, IL 60638
Cook County (773) 582-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midway Clinic Sc's NPI number?

The NPI number for Midway Clinic Sc is 1104977446. It was assigned to this organization in the NPPES registry on January 15, 2007.

Where is Midway Clinic Sc located?

Midway Clinic Sc is located at 4940 S Cicero Ave, Chicago, IL 60638. The listed phone number is (773) 582-6800.

What is Midway Clinic Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Midway Clinic Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0426938) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midway Clinic Sc was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.