OrganizationActive
Garland Legacy LLC
NPI 1417618380 · Clinical Medical Laboratory · Oak Park, IL
Provider details
- NPI number
- 1417618380
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Maya Garland, Director(708) 925-7672
Specialties & taxonomies
Laboratories
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1033 South Blvd
Oak Park, IL 60302-2823
Phone: (708) 965-0667
Street-level locationGet directions
Mailing address
1033 South Blvd
Oak Park, IL 60302-2823
Registry dates
- Enumerated
- 2022-01-04
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.