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

Southshore Medi Lab Inc

Organization Clinical Medical Laboratory · NPI 1073978631

Southshore Medi Lab Inc is a Clinical Medical Laboratory in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
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

4651 W 79th St Ste 204
Chicago, IL 60652-1775
Phone: (773) 585-0480
Fax: (773) 585-0482
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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 14D2104608 (IL)

Record details

NPI number1073978631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashfaq Muhammad — President · (773) 585-0480
NPI enumeratedDecember 28, 2015
Last updated in NPPESDecember 28, 2015
Mailing address4651 W 79th St Ste 204, Chicago, IL 60652-1775

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