Individual provider Active NPI

Mohammed A Mazher, AO

  • Clinical Medical Laboratory
  • Lombard, IL
National Provider Identifier
1144978180
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
330 E Roosevelt Rd Ste 150
Lombard, IL 60148-4662
Phone
(312) 217-3959
NPI assigned
Mar 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

330 E Roosevelt Rd Ste 150
Lombard, IL 60148-4662

Mailing address

1S225 Ardmore Ave
Villa Park, IL 60181-3759
Phone (312) 217-3959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamdard Home Care LLC CurrentSince Jan 28, 2024 Accepting new patients
USA Human Rights CurrentSince Jan 28, 2024 Accepting new patients
MMM Diagnostic Center Inc Clinical Medical Laboratory CurrentSince Mar 20, 2022 Accepting new patients

Locations

330 E Roosevelt Rd
Ste 150
Lombard, IL 60148
Phone (312) 217-3959

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1144978180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S225 ARDMORE AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813759",
            "telephone_number": "312-217-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E ROOSEVELT RD STE 150",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484662",
            "telephone_number": "312-217-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHER",
        "first_name": "MOHAMMED",
        "middle_name": "A",
        "credential": "AO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.