Organization Active NPI

Your Diagnostic Center, LLC

  • Clinical Medical Laboratory
  • Orland Park, IL
National Provider Identifier
1245314178
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
YOUR DIAGNOSTIC CENTER, LLC
Practice address
10811 W 143Rd St
Suite 130
Orland Park, IL 60467-1913
Phone
(708) 226-1400
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Thomas M. Aitken
Title
Administrator
Phone
(815) 723-9351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X IL Primary

Addresses

Primary practice location

10811 W 143Rd St
Suite 130
Orland Park, IL 60467-1913

Mailing address

10811 W 143Rd St
Suite 130
Orland Park, IL 60467-1913
Phone (708) 226-1400

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0920474Advanced Reproductive Health Center Chicago Ivf10811 W 143Rd St Ste 120, Orland Park, IL 60467ComplianceSep 13, 2026

National Provider Directory

National Provider Directory

Locations

10811 W 143rd St
Ste 130
Orland Park, IL 60467
Phone (708) 226-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245314178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 W 143RD ST",
            "address_2": "SUITE 130",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671913",
            "telephone_number": "708-226-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 W 143RD ST",
            "address_2": "SUITE 130",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671913",
            "telephone_number": "708-226-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AITKEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-723-9351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.