Ylab180 Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

YLAB180 INC

Practice address

1405 Bernard St
Unit#B2
Addison, IL 60101-4341

Phone

(630) 440-1900

NPI assigned

Jan 10, 2022

Last updated

Apr 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mir Khan

Title

Managing Director

Phone

(630) 440-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1184385379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 BERNARD ST",
            "address_2": "UNIT#B2",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014341",
            "telephone_number": "630-440-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 BERNARD ST",
            "address_2": "UNIT#B2",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014341",
            "telephone_number": "630-440-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YLAB180 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MIR",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "630-440-1900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelyn Wingard
• Noelle M Witwer, MD
• Jolanta Wlodarkiewicz, PT
• Jerry Balcom Wolfe, PHD
• Crystal Wright, PTA
• Nicole M Zarth, APN-CNP
• Anthony Glenn Zavaro
• Robin Zazove
• Hani Zeno
• Ermina Zukancic, RN

• Clinical Medical Laboratory in Addison, IL
• Providers in Addison, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.