LAKESHORE CLINICAL LLC
NPI 1124773130
Clinical Medical Laboratory in Rockford, IL

Active since February 17, 2022
5411 E STATE ST STE 4, ROCKFORD, IL 61108(224) 310-8328 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Clinical Llc NPPES

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

LAKESHORE CLINICAL LLC (NPI 1124773130) is a healthcare organization registered as a clinical medical laboratory in Rockford, Illinois and active in the NPI registry since February 2022. The organization lists Setu Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124773130
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLAKESHORE CLINICAL LLC
Location Address5411 E STATE ST STE 4Rockford, IL 61108-2908
Mailing Address7425 Nantucket CvHanover Park, IL 60133-2720 · (224) 310-8328
Organization SubpartNo
Authorized OfficialSetu ShahCeo · (224) 310-8328
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 15, 2022
NPI 1124773130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
5411 E STATE ST STE 4, Rockford, IL 61108

Other Providers at the Same Location NPPES 2

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

Technician
5411 E STATE ST STE 4
ROCKFORD, IL 61108
Technician
5411 E STATE ST STE 4
ROCKFORD, IL 61108

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 Lakeshore Clinical LLC's NPI number?

The NPI number for Lakeshore Clinical LLC is 1124773130. It was assigned to this organization in the NPPES registry on February 17, 2022.

Where is Lakeshore Clinical LLC located?

Lakeshore Clinical LLC is located at 5411 E State St Ste 4, Rockford, IL 61108. The listed phone number is (224) 310-8328.

What is Lakeshore Clinical LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Clinical LLC was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.