Organization Active NPI

Smartmed Supply Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1174404990
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SMARTMED SUPPLY INC
Practice address
6238 N Hoyne Ave
Chicago, IL 60659-3060
Phone
(332) 205-8825
Fax
(332) 205-8825
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Mohammed Faisal
Title
Owner
Phone
(332) 205-8825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6238 N Hoyne Ave
Chicago, IL 60659-3060

Mailing address

6238 N Hoyne Ave
Chicago, IL 60659-3060
Phone (332) 205-8825

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1174404990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 N HOYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593060",
            "telephone_number": "332-205-8825",
            "fax_number": "332-205-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 N HOYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593060",
            "telephone_number": "332-205-8825",
            "fax_number": "332-205-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTMED SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "FAISAL",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "332-205-8825"
    },
    "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 9, 2025; 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.