Active NPI
MGM Medical Equipment Services LLC
- Clinical Medical Laboratory
- Chicago, IL
National Provider Identifier
1164333472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MGM MEDICAL EQUIPMENT SERVICES LLC
- Practice address
- 2245 W Farwell Ave Apt 1B
Chicago, IL 60645-4861 - Phone
- (817) 254-3897
- NPI assigned
- Sep 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ayub Vali Talati
- Title
- Manager
- Phone
- (817) 254-3897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2245 W Farwell Ave Apt 1B
Chicago, IL 60645-4861
Mailing address
2245 W Farwell Ave Apt 1B
Chicago, IL 60645-4861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1164333472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 W FARWELL AVE APT 1B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606454861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 W FARWELL AVE APT 1B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606454861",
"telephone_number": "817-254-3897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGM MEDICAL EQUIPMENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "VALI TALATI",
"authorized_official_first_name": "AYUB",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "817-254-3897"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.