MEDOVATE LLC
NPI 1053816835
Clinic/Center - Multi-Specialty in Buffalo Grove, IL

Active since March 26, 2018CLIA 14D2238939 · Microscopy
1450 BUSCH PKWY STE 145, BUFFALO GROVE, IL 60089(847) 499-5500 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2022, Oct 17, 2022, Dec 6, 2019 and 1 more (4 updates tracked since 2018).

About Medovate Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDOVATE LLC (NPI 1053816835) is a healthcare organization registered as a multi-specialty in Buffalo Grove, Illinois and active in the NPI registry since March 2018. The organization holds a CLIA Microscopy certificate valid through January 21, 2028, maintains a secondary practice location in Chicago, and lists David Mann, Owner, as its authorized official.

NPPES Registry Identity

NPI1053816835
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMEDOVATE LLC
Location Address1450 BUSCH PKWY STE 145Buffalo Grove, IL 60089-4541
Mailing Address1237 Country LnDeerfield, IL 60015-4722 · (847) 530-1215
Organization SubpartNo
Authorized OfficialDavid MannOwner · (847) 530-1215
Enumeration DateMarch 26, 2018
Last NPPES UpdateOctober 27, 20224 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
NPI 1053816835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1450 BUSCH PKWY STE 145, Buffalo Grove, IL 60089

Secondary Practice Location 1

Location 1680 N Lake Shore Dr Ste 1425Chicago, IL 60611-4451 · Phone (847) 499-5500

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2238939

Medovate Dermatology · Buffalo Grove, IL
Active · expires Jan 21, 2028
CLIA Number14D2238939
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorDavid J. Mann
Laboratory Phone(847) 499-5500
Laboratory LocationMedovate Dermatology1450 Busch Pwy - Ste 145, Buffalo Grove, IL 60089
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
1450 BUSCH PKWY STE 145
BUFFALO GROVE, IL 60089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medovate LLC's NPI number?

The NPI number for Medovate LLC is 1053816835. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Medovate LLC located?

Medovate LLC is located at 1450 Busch Pkwy Ste 145, Buffalo Grove, IL 60089. The listed phone number is (847) 499-5500.

What is Medovate LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Medovate LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2238939) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medovate LLC was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.