ILLINIOS TECH LAB INC
NPI 1811658024
Clinical Medical Laboratory in Northbrook, IL

Active since January 10, 2022CLIA Certified · 2 labs
1818 SKOKIE BLVD, NORTHBROOK, IL 60062(312) 952-3034 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Illinios Tech Lab Inc NPPES

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

ILLINIOS TECH LAB INC (NPI 1811658024) is a healthcare organization registered as a clinical medical laboratory in Northbrook, Illinois and active in the NPI registry since January 2022. The organization holds 2 active CLIA laboratory certificates and lists Shafeeq Uddin Khaja, President, as its authorized official.

NPPES Registry Identity

NPI1811658024
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameILLINIOS TECH LAB INC
Location Address1818 SKOKIE BLVDNorthbrook, IL 60062-4106
Mailing Address8244 Central Park AveSkokie, IL 60076-2909 · (312) 952-3034
Organization SubpartNo
Authorized OfficialShafeeq Uddin KhajaPresident · (312) 952-3034
Enumeration DateJanuary 10, 2022
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1811658024 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.
1818 SKOKIE BLVD, Northbrook, IL 60062

CLIA Laboratory Certificates CMS CLIA 2

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 14D2249050

Illinios Tech Labs Inc · Northbrook, IL
Active · expires Jan 17, 2028
CLIA Number14D2249050
Laboratory TypeIndependent
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorShafeeq Khaja
Laboratory Phone(323) 681-3033
Laboratory LocationIllinios Tech Labs Inc1818 Skokie Blvd, Northbrook, IL 60062
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 14D2253709

Illinios Tech Labs Inc · Skokie, IL
Active · expires Jun 15, 2027
CLIA Number14D2253709
Laboratory TypeIndependent
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorDamodara R. Mendu
Laboratory Phone(773) 751-8222
Laboratory LocationIllinios Tech Labs Inc9150 Crawford Ave - Ste 104, Skokie, IL 60076
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
1818 SKOKIE BLVD
NORTHBROOK, IL 60062

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 Illinios Tech Lab Inc's NPI number?

The NPI number for Illinios Tech Lab Inc is 1811658024. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Illinios Tech Lab Inc located?

Illinios Tech Lab Inc is located at 1818 Skokie Blvd, Northbrook, IL 60062. The listed phone number is (312) 952-3034.

What is Illinios Tech Lab Inc's specialty?

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

Does Illinios Tech Lab Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Illinios Tech Lab Inc was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.