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

Lakeshore Clinical LLC

Organization Clinical Medical Laboratory · NPI 1124773130

Lakeshore Clinical LLC is a Clinical Medical Laboratory in Rockford, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5411 E State St Ste 4
Rockford, IL 61108-2908
Phone: (224) 310-8328
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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

Record details

NPI number1124773130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Setu Shah — Ceo · (224) 310-8328
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 15, 2022
Mailing address7425 Nantucket Cv, Hanover Park, IL 60133-2720

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