Augustus Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AUGUSTUS LABS LLC

Practice address

2801 Finley Rd Ste 101
Downers Grove, IL 60515-1039

Phone

(630) 672-8100

Fax

(630) 672-8100

NPI assigned

Apr 25, 2020

Organization subpart

No

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

Authorized official

Name

Jaber Niknam

Title

Owner

Phone

(832) 758-2616

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": "1587772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1477173847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 FINLEY RD STE 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151039",
            "telephone_number": "630-672-8100",
            "fax_number": "630-672-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FINLEY RD STE 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151039",
            "telephone_number": "630-672-8100",
            "fax_number": "630-672-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTUS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-25",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "NIKNAM",
        "authorized_official_first_name": "JABER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-758-2616"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.