Organization Active NPI

SMZ Medical and Diagnostics LLC

  • Clinical Medical Laboratory
  • Des Plaines, IL
National Provider Identifier
1124740758
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SMZ MEDICAL AND DIAGNOSTICS LLC
Practice address
653 Metropolitan Way
Des Plaines, IL 60016-4602
Phone
(773) 678-9009
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Muhammad Khawari
Title
President
Phone
(773) 678-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

653 Metropolitan Way
Des Plaines, IL 60016-4602

Mailing address

1228 S Leo CT
Palatine, IL 60067-2388
Phone (773) 678-9009

Other names 1

  • Medishield Diagnostics Doing business as

National Provider Directory

National Provider Directory

Locations

653 Metropolitan Way
Des Plaines, IL 60016
Phone (224) 567-6160

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1124740758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 S LEO CT",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672388",
            "telephone_number": "773-678-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 METROPOLITAN WAY",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164602",
            "telephone_number": "773-678-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMZ MEDICAL AND DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "KHAWARI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-678-9009"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medishield Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.