Active NPI
Carecentrics Lab LLC
- Clinical Medical Laboratory
- Niles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CARECENTRICS LAB LLC
- Practice address
- 7800 N Milwaukee Ave Ste 104
Niles, IL 60714-3124 - Phone
- (224) 888-3033
- NPI assigned
- Sep 13, 2022
- 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
- Yevgeny Bulbin, MD
- Title
- Owner
- Phone
- (847) 845-6465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
7800 N Milwaukee Ave Ste 104
Niles, IL 60714-3124
Mailing address
7800 N Milwaukee Ave Ste 104
Niles, IL 60714-3124
Other practice location 1
6740 Dempster St
Morton Grove, IL 60053-2609
Phone (224) 888-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221017001835 | IL | Part B Supplier - Independent Clinical Laboratory | 1456727478 | Practice locations: Niles, IL |
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 |
|---|---|---|---|
| 14D2267447 | Carecentrics Lab, LLC | Accreditation | Apr 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
400 Lake Cook Rd
Deerfield, IL 60015
Phone (847) 256-9507
7800 N Milwaukee Ave
Ste 104
Niles, IL 60714
Phone (224) 888-3033
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Niles, IL
- NPI 1437384047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1336861749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 N MILWAUKEE AVE STE 104",
"city": "NILES",
"state": "IL",
"postal_code": "607143124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N MILWAUKEE AVE STE 104",
"city": "NILES",
"state": "IL",
"postal_code": "607143124",
"telephone_number": "224-888-3033"
}
],
"practiceLocations": [
{
"address_1": "6740 Dempster St",
"address_purpose": "LOCATION",
"city": "Morton Grove",
"state": "IL",
"postal_code": "600532609",
"country_code": "US",
"telephone_number": "224-888-3033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARECENTRICS LAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-13",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "BULBIN",
"authorized_official_first_name": "YEVGENY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-845-6465",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
- Mary Jane Cabreros
- Care for Soul Inc
- Care One Pharmacy Services LLC
- Care Plus Outpatient Therapy Inc. (Vertex Outpatient Therapy)
- Carebridge Mobility LLC
- Carecentrics Urgent Care LLC
- Melissa Caringella, COTA
- Carol a. Gilbert and Associates, LLC (Carol A. Gilbert, MA, LCPC, NCC, MN, RN)
- Jeanmarie Carone, M.A.
- Corazon Catalla Castroverde-Diokno, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.