DIAGNOSTIC MEDICAL LABORATORY, INC.
NPI 1376685016
Specialist/Technologist, Pathology - Laboratory Management in Chicago, IL

Active since February 12, 2007
4554 N. BROADWAY STREET, SUITE 317, CHICAGO, IL 60640(773) 255-4959(773) 506-0269 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diagnostic Medical Laboratory, Inc. NPPES

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

DIAGNOSTIC MEDICAL LABORATORY, INC. (NPI 1376685016) is a healthcare organization registered as a laboratory management in Chicago, Illinois and active in the NPI registry since February 2007. The organization lists Joseph S Tengbeh, Laboratory Director And Owner, as its authorized official.

NPPES Registry Identity

NPI1376685016
Entity TypeOrganization
Primary Taxonomy246QL0900X
Legal Business NameDIAGNOSTIC MEDICAL LABORATORY, INC.
Location Address4554 N. BROADWAY STREET, SUITE 317Chicago, IL 60640-5642
Mailing Address4554 N. Broadway Street, Suite 317Chicago, IL 60640-5642 · (773) 255-4959 · Fax (773) 506-0269
Fax(773) 506-0269
Organization SubpartNo
Authorized OfficialJoseph S TengbehLaboratory Director And Owner · (773) 255-4959
Enumeration DateFebruary 12, 2007
Last NPPES UpdateFebruary 22, 2012
NPI 1376685016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Pathology · Laboratory ManagementTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QL0900X
4554 N. BROADWAY STREET, Chicago, IL 60640

Other Names 1

Doing Business AsDiagnostic Medical Laboratory, Inc.

Other Identifiers 2

Medicaid20388576001IL
Medicare UPIN213202IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Home Health
4554 N. BROADWAY STREET, SUITE 316
CHICAGO, IL 60640

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 Diagnostic Medical Laboratory, Inc.'s NPI number?

The NPI number for Diagnostic Medical Laboratory, Inc. is 1376685016. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Diagnostic Medical Laboratory, Inc. located?

Diagnostic Medical Laboratory, Inc. is located at 4554 N. Broadway Street Suite 317, Chicago, IL 60640. The listed phone number is (773) 255-4959.

What is Diagnostic Medical Laboratory, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.

When was this NPI record last updated?

The NPPES record for Diagnostic Medical Laboratory, Inc. was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.