Lemedix Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LEMEDIX LAB LLC

Practice address

799 Roosevelt Rd Ste 6-104
Glen Ellyn, IL 60137-5910

Phone

(630) 201-4786

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Raihaan Khan

Title

Officer

Phone

(630) 201-4786

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1528807351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD STE 6-104",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD STE 6-104",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375910",
            "telephone_number": "630-201-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMEDIX LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RAIHAAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "630-201-4786"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QL0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth K Lee, MD
• Wendy Lee, M.D.
• Marissa Leff
• Thomas Leib, MD
• Catherine Elaine Leman, MA, RD, LD
• Lemedix Midwest Lab LLC
• Samantha Jessica Lemus, OT
• Brian Gene Lengfelder, LCPC, CAADC, SAP
• Leslie Duff Therapy PLLC (Blue Bird Therapy)
• Uma S Levy, M.D.

• Clinical Medical Laboratory in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.