Active NPI
Morningstar Diagnostics Inc
- Clinical Medical Laboratory
- Palos Hills, IL
National Provider Identifier
1316623986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MORNINGSTAR DIAGNOSTICS INC
- Practice address
- 8150 W 111TH St Ste 5
Palos Hills, IL 60465-2591 - Phone
- (773) 312-0448
- NPI assigned
- Jun 27, 2023
- 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
- Syed Ahmed Hussaini
- Title
- President
- Phone
- (773) 312-0448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
8150 W 111TH St Ste 5
Palos Hills, IL 60465-2591
Mailing address
8150 W 111TH St Ste 5
Palos Hills, IL 60465-2591
Phone (773) 312-0448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231204001728 | IL | Part B Supplier - Independent Clinical Laboratory | 0042668949 | Practice locations: Palos Hills, IL |
National Provider Directory
National Provider DirectoryLocations
240 E Lake St
Ste 302
Addison, IL 60101
Phone (630) 631-4552
765 State Route 83
Ste 104A
Bensenville, IL 60106
8150 W 111th St
Ste 5
Palos Hills, IL 60465
Phone (708) 599-0191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1316623986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8150 W 111TH ST STE 5",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604652591",
"telephone_number": "773-312-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 W 111TH ST STE 5",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604652591",
"telephone_number": "773-312-0448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNINGSTAR DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "HUSSAINI",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-312-0448"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.