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LIFETIME MEDICAL ASSOCIATES
NPI 1902873003
Internal Medicine in Chicago, IL

Active since March 07, 2006CLIA 14D0961008 · Microscopy
1645 W JACKSON BLVD, SUITE 215, CHICAGO, IL 60612(312) 942-8000 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifetime Medical Associates NPPES

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

LIFETIME MEDICAL ASSOCIATES (NPI 1902873003) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through June 30, 2027 and lists Brian T Smith, Vp/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1902873003
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRUSH UNIVERSITY MEDICAL CENTER
Location Address1645 W JACKSON BLVD, SUITE 215Chicago, IL 60612-3276
Mailing Address1645 W Jackson Blvd, Suite 215Chicago, IL 60612-3276 · (312) 942-8000
Phone(312) 942-8000
Organization SubpartYes
Authorized OfficialBrian T SmithVp/authorized Official · (312) 942-6909
Enumeration DateMarch 7, 2006
Last NPPES UpdateAugust 9, 2013
✔ NPI 1902873003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
1645 W JACKSON BLVD, Chicago, IL 60612
Open in Google Maps ↗

Other Names 1

Doing Business AsLifetime Medical Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0961008

Lifetime Medical Associates · Chicago, IL
Active · expires Jun 30, 2027
CLIA Number14D0961008
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorSurabhi Mehrotra M D
Laboratory Phone(312) 942-8000
Laboratory LocationLifetime Medical Associates1645 W Jackson, Ste 215, Chicago, IL 60612
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

MS. RENEE SLADE M.D.
Pediatrics
1645 W JACKSON BLVD, STE 200
CHICAGO, IL 60612
Cook County (312) 942-2200
DR. SHREYA KANABAR M.D.
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Cook County (312) 942-2200
MR. CHARLES FRANCIS SMALL III L.S.W.
Social Worker (Clinical)
1645 W JACKSON BLVD, SUITE 302
CHICAGO, IL 60612
Cook County (312) 942-8318
KAREN J LUI MD
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Cook County (312) 842-2200
NATALIA SALAZAR MD
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Cook County (312) 942-2200
DR. SUWON VICKIE NOPACHAI M.D.
Pediatrics
1645 W JACKSON BLVD, SUITE 215
CHICAGO, IL 60612
Cook County (312) 942-8000
LAURA ROGERS M.D.
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Cook County (312) 942-2200
DEPARTMENT OF PSYCHIATRY AT RUSH
Psychiatry & Neurology (Psychiatry)
1645 W JACKSON BLVD, SUITE 600
CHICAGO, IL 60612
Cook County (312) 942-2400

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 Rush University Medical Center's NPI number?

The NPI number for Rush University Medical Center is 1902873003. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Lifetime Medical Associates.

Where is Rush University Medical Center located?

Rush University Medical Center is located at 1645 W Jackson Blvd Suite 215, Chicago, IL 60612. The listed phone number is (312) 942-8000.

What is Rush University Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Rush University Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0961008) is associated with this NPI, valid through June 30, 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 Rush University Medical Center was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.