Park Ridge Lab Inc
NPI 1558635516ActiveOrganization· Pathology, Hematology· Park Ridge, IL
Pathology, Hematology in Park Ridge, Illinois, registered in NPPES in March 2012. The authorized official on file is Sam Speron, MD, President.
Overview
| NPI | 1558635516 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2012 |
| Last updated in NPPES | Mar 7, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Hematology Primary | 207ZH0000X | — | — |
| Clinical Medical Laboratory | 291U00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|