Organization Active NPI

Advanced Lab 3 Inc

  • Clinical Medical Laboratory
  • Hoffman Estates, IL
National Provider Identifier
1073267795
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANCED LAB 3 INC
Practice address
1800 McDonough Rd Ste 209
Hoffman Estates, IL 60192-4565
Phone
(224) 520-0050
NPI assigned
Feb 10, 2022
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Junaid Hussain
Title
Owner
Phone
(224) 520-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1800 McDonough Rd Ste 209
Hoffman Estates, IL 60192-4565

Mailing address

1800 McDonough Rd Ste 209
Hoffman Estates, IL 60192-4565
Phone (224) 520-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220916002611 IL Part B Supplier - Clinic/Group Practice 7012394307 Receives reassigned benefits from 1 practitioner
Practice locations: Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

1800 McDonough Rd
Ste 209
Hoffman Estates, IL 60192
Phone (224) 238-3816

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1073267795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MCDONOUGH RD STE 209",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924565",
            "telephone_number": "224-520-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCDONOUGH RD STE 209",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924565",
            "telephone_number": "224-520-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LAB 3 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-520-0050"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.