ILLINIOS TECH LAB INC
NPI 1811658024
Clinical Medical Laboratory in Northbrook, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Illinios Tech Lab Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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, ILCertificate of Compliance 14D2253709
Illinios Tech Labs Inc · Skokie, ILOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Is Illinios Tech Lab Inc enrolled in Medicare?
Yes. Illinios Tech Lab Inc is registered in the Medicare PECOS enrollment system.
When is Illinios Tech Lab Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Independent Clinical Laboratory) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
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.