OMNI DIAGNOSTIC LABORATORY INC
NPI 1154022200
Clinical Medical Laboratory in Chicago, IL

Active since March 15, 2023
5866 N LINCOLN AVE STE 103, CHICAGO, IL 60659(773) 574-8743 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Mar 15, 2023 (2 updates tracked since 2023).

About Omni Diagnostic Laboratory Inc NPPES

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

OMNI DIAGNOSTIC LABORATORY INC (NPI 1154022200) is a healthcare organization registered as a clinical medical laboratory in Chicago, Illinois and active in the NPI registry since March 2023. The organization lists Mohammed Azheruddin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1154022200
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameOMNI DIAGNOSTIC LABORATORY INC
Location Address5866 N LINCOLN AVE STE 103Chicago, IL 60659-4632
Mailing Address5866 N Lincoln Ave Ste 103Chicago, IL 60659-4632
Organization SubpartNo
Authorized OfficialMohammed AzheruddinAuthorized Official · (773) 943-2487
Enumeration DateMarch 15, 2023
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1154022200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5866 N LINCOLN AVE STE 103, Chicago, IL 60659

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 Omni Diagnostic Laboratory Inc's NPI number?

The NPI number for Omni Diagnostic Laboratory Inc is 1154022200. It was assigned to this organization in the NPPES registry on March 15, 2023.

Where is Omni Diagnostic Laboratory Inc located?

Omni Diagnostic Laboratory Inc is located at 5866 N Lincoln Ave Ste 103, Chicago, IL 60659. The listed phone number is (773) 574-8743.

What is Omni Diagnostic Laboratory Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Omni Diagnostic Laboratory Inc was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.