Organization Active NPI

Crystal Lab Works LLC

  • Clinical Medical Laboratory
  • Skokie, IL
National Provider Identifier
1588326326
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CRYSTAL LAB WORKS LLC
Practice address
4850 Main St
Skokie, IL 60077-2512
Phone
(847) 372-5920
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Mr. Raj Pillai
Title
Partner
Phone
(312) 493-9749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4850 Main St
Skokie, IL 60077-2512

Mailing address

4850 Main St
Skokie, IL 60077-2512

National Provider Directory

National Provider Directory

Locations

4852 Main St
Skokie, IL 60077
Phone (847) 556-2500

4850 Main St
Skokie, IL 60077
Phone (847) 372-5920

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": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1588326326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772512",
            "telephone_number": "847-372-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL LAB WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "PILLAI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-493-9749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.