Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Impala Express Clinical Laboratory Service Inc

Organization Clinical Medical Laboratory · NPI 1346530201

Impala Express Clinical Laboratory Service Inc is a Clinical Medical Laboratory in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 N Michigan Ave Ste 944E 845 N Michigan Ave Ste # 944-E
Chicago, IL 60611-2213
Phone: (312) 202-0328
Fax: (312) 202-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 14D2018991 (IL)

Record details

NPI number1346530201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alemayehu Gebresellassie — President · (847) 951-5168
NPI enumeratedApril 12, 2011
Last updated in NPPESJune 12, 2012
Mailing address845 N Michigan Ave Ste 944e, 845 N. Michigan Ave, Suite # 944-E, Chicago, IL 60611-2213

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