METRO NORTH SURGICAL CENTER
NPI 1508464074
Clinic/Center - Ambulatory Surgical in Chicago, IL

Active since October 15, 2020CLIA 14D2213411 · Waiver
2651 N LARAMIE AVE, CHICAGO, IL 60639(920) 217-6052 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Metro North Surgical Center NPPES

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

METRO NORTH SURGICAL CENTER (NPI 1508464074) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Jamie L Vandenelzen, Owner, as its authorized official.

NPPES Registry Identity

NPI1508464074
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMETRO NORTH SURGICAL CENTER
Location Address2651 N LARAMIE AVEChicago, IL 60639-1613
Mailing Address106 N Knight AvePark Ridge, IL 60068-3108 · (920) 217-6052
Organization SubpartYesParent: Metro North Surgery Center
Authorized OfficialJamie L VandenelzenOwner · (920) 217-6052
Enumeration DateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
NPI 1508464074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2651 N LARAMIE AVE, Chicago, IL 60639

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 14D2213411

Metro North Surgical Center · Chicago, IL
Active · expires Feb 11, 2027
CLIA Number14D2213411
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorShoeb A. Mohiuddin
Laboratory Phone(773) 373-0062
Laboratory LocationMetro North Surgical Center2649 N Laramie Ave, Chicago, IL 60639
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Durable Medical Equipment & Medical Supplies
2651 N LARAMIE AVE
CHICAGO, IL 60639
Durable Medical Equipment & Medical Supplies
2651 N LARAMIE AVE
CHICAGO, IL 60639
Physical Therapist
2651 N LARAMIE AVE
CHICAGO, IL 60639
Anesthesiology (Pain Medicine)
2651 N LARAMIE AVE
CHICAGO, IL 60639
Clinic/Center (Physical Therapy)
2651 N LARAMIE AVE
CHICAGO, IL 60639
Chiropractor
2651 N LARAMIE AVE
CHICAGO, IL 60639
Anesthesiology (Pain Medicine)
2651 N LARAMIE AVE
CHICAGO, IL 60639

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 Metro North Surgical Center's NPI number?

The NPI number for Metro North Surgical Center is 1508464074. It was assigned to this organization in the NPPES registry on October 15, 2020.

Where is Metro North Surgical Center located?

Metro North Surgical Center is located at 2651 N Laramie Ave, Chicago, IL 60639. The listed phone number is (920) 217-6052.

What is Metro North Surgical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Metro North Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2213411) is associated with this NPI, valid through February 11, 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 Metro North Surgical Center was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.