Organization Active NPI

Polaris Labs LLC

  • Clinical Medical Laboratory
  • Niles, IL
National Provider Identifier
1184317109
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
POLARIS LABS LLC
Practice address
6201 W Howard St Ste 211a
Niles, IL 60714-3435
Phone
(980) 705-2747
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Zubair Ahmed
Title
Ceo
Phone
(980) 705-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6201 W Howard St Ste 211a
Niles, IL 60714-3435

Mailing address

6201 W Howard St Ste 211a
Niles, IL 60714-3435
Phone (980) 705-2747

National Provider Directory

National Provider Directory

Locations

6201 W Howard St
Ste 211A
Niles, IL 60714
Phone (708) 428-2996

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1184317109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W HOWARD ST STE 211A",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143435",
            "telephone_number": "980-705-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W HOWARD ST STE 211A",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143435",
            "telephone_number": "980-705-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ZUBAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-705-2747"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.