Active NPI
Novaquest Diagnostics LLC
- Multi-Specialty Clinic/Center
- Richton Park, IL
National Provider Identifier
1194523480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NOVAQUEST DIAGNOSTICS LLC
- Practice address
- 4137 Sauk TRL Ste 170
Richton Park, IL 60471-1253 - Phone
- (708) 872-7551
- NPI assigned
- Mar 4, 2025
- 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
- Patricia Johnson
- Title
- Ceo
- Phone
- (708) 872-7551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
4137 Sauk TRL Ste 170
Richton Park, IL 60471-1253
Mailing address
4137 Sauk TRL Ste 170
Richton Park, IL 60471-1253
Phone (708) 872-7551
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2324512 | Novaquest Diagnostics LLC | Certificate of waiver | May 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1194523480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 SAUK TRL STE 170",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "708-872-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4137 SAUK TRL STE 170",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "708-872-7551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAQUEST DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-04",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "708-872-7551"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richton Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.