Optimalab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

71114678 Issued in IL

Legal business name

OPTIMALAB INC

Practice address

210 Mittel Dr Ste 2
Wood Dale, IL 60191-1120

Phone

(630) 410-2447

Fax

(630) 410-8148

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Rehan Akhter

Title

Manager

Phone

(630) 410-2447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1275060931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MITTEL DR STE 2",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911120",
            "telephone_number": "630-410-2447",
            "fax_number": "630-410-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MITTEL DR STE 2",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911120",
            "telephone_number": "630-410-2447",
            "fax_number": "630-410-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMALAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "AKHTER",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-410-2447"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "71114678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Wood Dale, IL
• Providers in Wood Dale, 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 Sep 3, 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.

Verify at the official NPI Registry.