TUSLA MEDICAL LAB
NPI 1457244717
Clinical Medical Laboratory in Chicago, IL

Active since June 03, 2025CLIA 14D2339743 · Waiver
4100 MADISON STREET, SUITE B, CHICAGO, IL 60624(888) 473-3611 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tusla Medical Lab NPPES

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

TUSLA MEDICAL LAB (NPI 1457244717) is a healthcare organization registered as a clinical medical laboratory in Chicago, Illinois and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Lashawn Jones, President, as its authorized official.

NPPES Registry Identity

NPI1457244717
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTUSLA MEDICAL LAB
Location Address4100 MADISON STREET, SUITE BChicago, IL 60624
Mailing Address332 S Michigan Ave Ste 121Chicago, IL 60604-4302 · (888) 473-3611
Organization SubpartNo
Authorized OfficialLashawn JonesPresident · (312) 933-4859
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
NPI 1457244717 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.
4100 MADISON STREET, Chicago, IL 60624

Other Names 1

Doing Business AsTusla Medical Lab

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 14D2339743

Tulsa Medical Lab · Chicago, IL
Active · expires Mar 5, 2028
CLIA Number14D2339743
Laboratory TypeIndependent
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorWyvon Blackwell
Laboratory Phone(312) 933-4859
Laboratory LocationTulsa Medical Lab4100 W Madison St 101, Chicago, IL 60624
CLIA data matches this NPI record on: 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 Tusla Medical Lab's NPI number?

The NPI number for Tusla Medical Lab is 1457244717. It was assigned to this organization in the NPPES registry on June 3, 2025.

Where is Tusla Medical Lab located?

Tusla Medical Lab is located at 4100 Madison Street Suite B, Chicago, IL 60624. The listed phone number is (888) 473-3611.

What is Tusla Medical Lab's specialty?

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

Does Tusla Medical Lab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2339743) is associated with this NPI, valid through March 5, 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 Tusla Medical Lab was last updated on June 3, 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.