OrganizationActive
Southshore Medi Lab Inc
NPI 1073978631 · Clinical Medical Laboratory · Chicago, IL
Southshore Medi Lab Inc is a Clinical Medical Laboratory organization in Chicago, IL (NPI 1073978631).
Provider details
- NPI number
- 1073978631
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Ashfaq Muhammad, President(773) 585-0480
- License
- 14D2104608 (IL)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4651 W 79th St Ste 204
Chicago, IL 60652-1775
Phone: (773) 585-0480
Fax: (773) 585-0482
Street-level locationGet directions
Mailing address
4651 W 79th St Ste 204
Chicago, IL 60652-1775
Registry dates
- Enumerated
- 2015-12-28
- Last updated
- 2015-12-28
Frequently asked questions
- What is Southshore Medi Lab Inc's NPI number?
- Southshore Medi Lab Inc's National Provider Identifier (NPI) is 1073978631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southshore Medi Lab Inc?
- Southshore Medi Lab Inc is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Southshore Medi Lab Inc located?
- Southshore Medi Lab Inc's practice location on file with NPPES is 4651 W 79th St Ste 204, Chicago, IL 60652-1775.
- What is Southshore Medi Lab Inc's phone number?
- The practice phone number listed in the NPPES registry for Southshore Medi Lab Inc is (773) 585-0480.
- Who is the authorized official for Southshore Medi Lab Inc?
- The authorized official listed on Southshore Medi Lab Inc's NPPES record is Ashfaq Muhammad, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southshore Medi Lab Inc's NPI active?
- Yes — Southshore Medi Lab Inc's NPI (1073978631) is active in the NPPES registry as of the last update on 2015-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.