NORTHSHORE MEDICAL LABORATORY
NPI 1275302374
Clinical Medical Laboratory in Chicago, IL

Active since December 29, 2023CLIA 14D2296192 · Waiver
1743 E 87TH ST, CHICAGO, IL 60617(773) 734-8998(773) 375-8999 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northshore Medical Laboratory NPPES

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

NORTHSHORE MEDICAL LABORATORY (NPI 1275302374) is a healthcare organization registered as a clinical medical laboratory in Chicago, Illinois and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Felix Parker, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1275302374
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameNORTHSHORE MEDICAL LABORATORY
Location Address1743 E 87TH STChicago, IL 60617-2741
Mailing Address1743 E 87th StChicago, IL 60617-2741 · (312) 973-2395 · Fax (773) 375-8999
Fax(773) 375-8999
Organization SubpartNo
Authorized OfficialFelix ParkerAdministrator/owner · (312) 973-2395
Enumeration DateDecember 29, 2023
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
NPI 1275302374 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.
1743 E 87TH ST, Chicago, IL 60617

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 14D2296192

Northshore Medical Laboratory · Chicago, IL
Active · expires Dec 21, 2027
CLIA Number14D2296192
Laboratory TypeIndependent
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorTaryrsha Davis
Laboratory Phone(773) 734-8998
Laboratory LocationNorthshore Medical Laboratory1743 E 87th St, Chicago, IL 60617
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled P9603
This service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.
588 services11 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
103 services80 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
103 services80 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
103 services80 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
103 services80 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
103 services80 patients

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
1743 E 87TH ST
CHICAGO, IL 60617

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 Northshore Medical Laboratory's NPI number?

The NPI number for Northshore Medical Laboratory is 1275302374. It was assigned to this organization in the NPPES registry on December 29, 2023.

Where is Northshore Medical Laboratory located?

Northshore Medical Laboratory is located at 1743 E 87th St, Chicago, IL 60617. The listed phone number is (773) 734-8998.

What is Northshore Medical Laboratory's specialty?

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

Does Northshore Medical Laboratory hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2296192) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northshore Medical Laboratory was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.