GALILEE BIOMED LAB
NPI 1497493241
Clinical Medical Laboratory in Chicago, IL

Active since May 23, 2022CLIA Certified · 2 labs
4200 W 63RD ST, CHICAGO, IL 60629(773) 295-7300(773) 295-7335 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2022, May 23, 2022 (2 updates tracked since 2022).

About Galilee Biomed Lab NPPES

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

GALILEE BIOMED LAB (NPI 1497493241) is a healthcare organization registered as a clinical medical laboratory in Chicago, Illinois and active in the NPI registry since May 2022. The organization holds 2 active CLIA laboratory certificates and lists Tania Khamoo, Manager, as its authorized official.

NPPES Registry Identity

NPI1497493241
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameGALILEE MEDICAL CENTER, S.C.
Location Address4200 W 63RD STChicago, IL 60629-5010
Mailing Address4903 W Fullerton AveChicago, IL 60639-2548 · (773) 237-0755 · Fax (773) 237-0785
Fax(773) 295-7335
Organization SubpartYes
Authorized OfficialTania KhamooManager · (773) 309-6740
Enumeration DateMay 23, 2022
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1497493241 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.
4200 W 63RD ST, Chicago, IL 60629

Other Names 1

Doing Business AsGalilee Biomed Lab

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 14D1021109

Galilee Biomed Lab · Chicago, IL
Active · expires Jun 26, 2027
CLIA Number14D1021109
Laboratory TypeIndependent
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorDr. Daniel Dees
Laboratory Phone(708) 300-4406
Laboratory LocationGalilee Biomed Lab4200 W 63rd St, Chicago, IL 60629
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 14D0993144

Galilee Medical Center Fullerton · Chicago, IL
Active · expires Nov 5, 2027
CLIA Number14D0993144
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorNaser Rustom
Laboratory Phone(773) 309-6740
Laboratory LocationGalilee Medical Center Fullerton4849 W Fullerton Ave, Chicago, IL 60639
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Radiology (Diagnostic Radiology)
4200 W 63RD ST
CHICAGO, IL 60629
Family Medicine
4200 W 63RD ST
CHICAGO, IL 60629
Radiology (Diagnostic Radiology)
4200 W 63RD ST
CHICAGO, IL 60629
Clinic/Center (Ambulatory Surgical)
4200 W 63RD ST
CHICAGO, IL 60629
Clinic/Center (Radiology)
4200 W 63RD ST
CHICAGO, IL 60629
Chiropractor
4200 W 63RD ST
CHICAGO, IL 60629

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 Galilee Medical Center, S.C.'s NPI number?

The NPI number for Galilee Medical Center, S.C. is 1497493241. It was assigned to this organization in the NPPES registry on May 23, 2022. The provider is doing business as Galilee Biomed Lab.

Where is Galilee Medical Center, S.C. located?

Galilee Medical Center, S.C. is located at 4200 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 295-7300.

What is Galilee Medical Center, S.C.'s specialty?

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

Does Galilee Medical Center, S.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Galilee Medical Center, S.C. was last updated on July 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.