Organization Active NPI

Novalab Diagnostics Inc

  • Clinical Medical Laboratory
  • Elk Grove VLG, IL
National Provider Identifier
1093649402
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NOVALAB DIAGNOSTICS INC
Practice address
700 Nicholas Blvd
Elk Grove VLG, IL 60007-2599
Phone
(818) 282-6673
NPI assigned
Jun 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Karen Vardumyan
Title
Ceo
Phone
(818) 282-6673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

700 Nicholas Blvd
Elk Grove VLG, IL 60007-2599

Mailing address

700 Nicholas Blvd
Elk Grove VLG, IL 60007-2599
Phone (818) 282-6673

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2333202Novalab Diagnostics Inc700 Nicholas Blvd Ste 411, Elk Grove Village, IL 60007RegistrationOct 30, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1093649402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NICHOLAS BLVD",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600072599",
            "telephone_number": "818-282-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NICHOLAS BLVD",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600072599",
            "telephone_number": "818-282-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVALAB DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "VARDUMYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-282-6673"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove VLG, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.