Organization Active NPI

Northwest Testing LLC

  • Clinical Medical Laboratory
  • McHenry, IL
National Provider Identifier
1053067538
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NORTHWEST TESTING LLC
Practice address
3815 W Elm St
McHenry, IL 60050-4373
Phone
(630) 229-9876
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Syed Bilgrami
Title
Manager
Phone
(630) 229-9876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3815 W Elm St
McHenry, IL 60050-4373

Mailing address

200 Timber Trails Blvd
Gilberts, IL 60136-4055
Phone (630) 229-9876

National Provider Directory

National Provider Directory

Locations

3815 W Elm St
McHenry, IL 60050
Phone (630) 229-9876

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1053067538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TIMBER TRAILS BLVD",
            "city": "GILBERTS",
            "state": "IL",
            "postal_code": "601364055",
            "telephone_number": "630-229-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 W ELM ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504373",
            "telephone_number": "630-229-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "BILGRAMI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-229-9876"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.