Des Plaines Clinical Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1402075610 Issued in IL

Legal business name

DES PLAINES CLINICAL LAB INC

Practice address

8833 Gross Point Rd Ste 308
Skokie, IL 60077-1859

Phone

(847) 699-7100

Fax

(847) 699-7797

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Imran Qadeer

Title

President

Phone

(847) 699-7100

Specialties & licenses 1

Addresses

Other names 1

• NTL LABORATORY Doing business as

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": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1538570528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 GROSS POINT RD STE 308",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771859",
            "telephone_number": "847-699-7100",
            "fax_number": "847-699-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 GROSS POINT RD STE 308",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771859",
            "telephone_number": "847-699-7100",
            "fax_number": "847-699-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PLAINES CLINICAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "QADEER",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-699-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "1402075610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NTL LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dependable Care Staffing, LLC
• Patricia Depoli, M.D.
• Sergey Viktorovich Dergachev
• Derick Dermatology, PLLC
• Aine Therese Derrig
• Foram Rajendra Desai, M.D.
• Nisha Desai, M.D.
• Rupa V. Desai, DO
• Joseph Anthony Desantis, PHARMD
• Devine Home Care, Inc.

• Clinical Medical Laboratory in Skokie, IL
• Providers in Skokie, 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 Aug 26, 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.