Organization Active NPI

National Diagnostics Lab Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1326823022
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NATIONAL DIAGNOSTICS LAB INC
Practice address
3530 W Peterson Ave Ste 100
Chicago, IL 60659-3294
Phone
(773) 681-0088
Fax
(773) 539-5200
NPI assigned
Aug 30, 2023
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Salman A Khan
Title
Managing Director
Phone
(312) 758-0716

Specialties & licenses 1

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

Addresses

Primary practice location

3530 W Peterson Ave Ste 100
Chicago, IL 60659-3294

Mailing address

3530 W Peterson Ave Ste 100
Chicago, IL 60659-3294
Phone (312) 758-0716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231228003210 IL Part B Supplier - Independent Clinical Laboratory 2365892650 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3530 W Peterson Ave
Ste 100
Chicago, IL 60659
Phone (773) 681-0088

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1326823022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 W PETERSON AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593294",
            "telephone_number": "312-758-0716",
            "fax_number": "773-539-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 W PETERSON AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593294",
            "telephone_number": "773-681-0088",
            "fax_number": "773-539-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DIAGNOSTICS LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "312-758-0716"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2025; 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.

Verify at the official NPI Registry.