Active NPI
Mednow Laboratory LLC
- Clinical Medical Laboratory
- Schaumburg, IL
National Provider Identifier
1447912910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MEDNOW LABORATORY LLC
- Practice address
- 1750 E Golf Rd Ste 395F
Schaumburg, IL 60173-5090 - Phone
- (847) 347-2575
- NPI assigned
- Oct 12, 2021
- 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
- Dr. Ahtesham Hyder, MD
- Title
- Principal
- Phone
- (847) 347-2575
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Hospitalist Physician | 208M00000X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1750 E Golf Rd Ste 395F
Schaumburg, IL 60173-5090
Mailing address
1750 E Golf Rd Ste 395F
Schaumburg, IL 60173-5090
Phone (847) 347-2575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036112807 | Other | IL | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220131001930 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911390760 | Practice locations: Schaumburg, IL |
National Provider Directory
National Provider DirectoryLocations
1750 E Golf Rd
Ste 395F
Schaumburg, IL 60173
Phone (815) 914-1414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654041600000",
"number": "1447912910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 E GOLF RD STE 395F",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735090",
"telephone_number": "847-347-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E GOLF RD STE 395F",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735090",
"telephone_number": "847-347-2575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDNOW LABORATORY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-12",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A",
"authorized_official_last_name": "HYDER",
"authorized_official_first_name": "AHTESHAM",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "847-347-2575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "036112807",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.