Active NPI
Your Diagnostic Center, LLC
- Clinical Medical Laboratory
- Orland Park, IL
National Provider Identifier
1245314178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 14D0920474 | Advanced Reproductive Health Center Chicago Ivf | Compliance | Sep 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Joliet, IL
- NPI 1871561621
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.