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

Prentice Place

Organization Clinical Medical Laboratory · NPI 1053137760

Prentice Place is a Clinical Medical Laboratory in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

255 W 112th Pl
Chicago, IL 60628-4132
Phone: (773) 391-3123
Fax: (773) 701-6844
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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 number1053137760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prentice Earl — Owner · (773) 391-3123
NPI enumeratedNovember 26, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address255 W 112th Pl, Chicago, IL 60628-4132

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