Organization Active NPI

Clearline Diagnostic

  • Medical Laboratory Technician
  • Des Plaines, IL
National Provider Identifier
1508708306
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
Legal business name
CLEARLINE DIAGNOSTIC
Practice address
950 Lee St
Des Plaines, IL 60016-6532
Phone
(312) 809-1399
NPI assigned
Apr 8, 2026
Organization subpart
Yes
Parent organization
AGAPY TRANSPORTATION SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Angela Ibeh
Title
Manager
Phone
(480) 249-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RM2200X Primary

Addresses

Primary practice location

950 Lee St
Des Plaines, IL 60016-6532

Mailing address

950 Lee St Ste 103
Des Plaines, IL 60016-6556
Phone (312) 809-1399

National Provider Directory

National Provider Directory
Tax ID family
Clearline Diagnostic2 organizations share this tax ID, including this one
Part of
Clearline Diagnostic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

950 Lee St
Ste 103
Des Plaines, IL 60016

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1508708306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LEE ST STE 103",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166556",
            "telephone_number": "312-809-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166532",
            "telephone_number": "312-809-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLINE DIAGNOSTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPY TRANSPORTATION SERVICES",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "IBEH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-249-6100"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.