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WOODLAKE OCCUPATIONAL HEALTH LLC
NPI 1104699032
Clinic/Center - Occupational Medicine in Melrose Park, IL

Active since November 02, 2023CLIA 14D2246145 · Waiver
1111 SUPERIOR ST STE 506, MELROSE PARK, IL 60160(708) 919-9900 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Woodlake Occupational Health Llc NPPES

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

WOODLAKE OCCUPATIONAL HEALTH LLC (NPI 1104699032) is a healthcare organization registered as an occupational medicine in Melrose Park, Illinois and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Chaim Rottenberg, Asset Manager, as its authorized official.

NPPES Registry Identity

NPI1104699032
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameWOODLAKE OCCUPATIONAL HEALTH LLC
Location Address1111 SUPERIOR ST STE 506Melrose Park, IL 60160-4156
Mailing Address150 Airport Rd Ste 900Lakewood, NJ 08701-6988 · (516) 668-9675
Phone(708) 919-9900
Organization SubpartNo
Authorized OfficialChaim RottenbergAsset Manager · (347) 522-5970
Enumeration DateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1104699032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1111 SUPERIOR ST STE 506, Melrose Park, IL 60160
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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 of Waiver 14D2246145

Woodlake Occupational Health · Melrose Park, IL
Active · expires Dec 20, 2027
CLIA Number14D2246145
Laboratory TypeOcc Health - Collection
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorIsam Nasr
Laboratory Phone(708) 919-9900
Laboratory LocationWoodlake Occupational Health1111 Superior St - Ste 506, Melrose Park, IL 60160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Woodlake Occupational Health LLC's NPI number?

The NPI number for Woodlake Occupational Health LLC is 1104699032. It was assigned to this organization in the NPPES registry on November 2, 2023.

Where is Woodlake Occupational Health LLC located?

Woodlake Occupational Health LLC is located at 1111 Superior St Ste 506, Melrose Park, IL 60160. The listed phone number is (708) 919-9900.

What is Woodlake Occupational Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Woodlake Occupational Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2246145) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodlake Occupational Health LLC was last updated on November 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.