Active NPI
Lucid Labs Health LLC
- Clinical Medical Laboratory
- Chicago, IL
National Provider Identifier
1225749856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LUCID LABS HEALTH LLC
- Doing business as
- LUCID LABS
- Practice address
- 2320 W Peterson Ave Ste 200
Chicago, IL 60659-5244 - Phone
- (773) 531-0206
- NPI assigned
- Dec 5, 2022
- 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
- Mr. Abdul Gaffar Zainulabdeen
- Title
- Authorized Official
- Phone
- (773) 681-6489
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2320 W Peterson Ave Ste 200
Chicago, IL 60659-5244
Mailing address
2320 W Peterson Ave Ste 200
Chicago, IL 60659-5244
Phone (773) 681-6489
Other names 1
- LUCID LABS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230203002512 | IL | Part B Supplier - Independent Clinical Laboratory | 8527430354 | Practice locations: Chicago, IL |
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 |
|---|---|---|---|
| 14D2255904 | Lucid Labs | Accreditation | Feb 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
2320 W Peterson Ave
Ste 200
Chicago, IL 60659
Phone (773) 531-0206
2200 E Devon Ave
Ste 259
Des Plaines, IL 60018
Phone (847) 957-4798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767139200000",
"number": "1225749856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 W PETERSON AVE STE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606595244",
"telephone_number": "773-681-6489",
"fax_number": "847-957-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 W PETERSON AVE STE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606595244",
"telephone_number": "773-531-0206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCID LABS HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-05",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A",
"authorized_official_last_name": "ZAINULABDEEN",
"authorized_official_first_name": "ABDUL",
"authorized_official_middle_name": "GAFFAR",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "773-681-6489",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LUCID LABS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.