Organization Active NPI

Advanced Diagnostic Services LLC

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1588497655
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANCED DIAGNOSTIC SERVICES LLC
Practice address
3420 W Peterson Ave Ste 2
Chicago, IL 60659-3467
Phone
(872) 235-7035
NPI assigned
Aug 23, 2024
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Vijay Kumar Madupally
Title
Owner
Phone
(872) 235-7035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3420 W Peterson Ave Ste 2
Chicago, IL 60659-3467

Mailing address

3420 W Peterson Ave Ste 2
Chicago, IL 60659-3467
Phone (872) 235-7035

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2307494Advanced Diagnostic Services LLC3420 W Peterson Ave - Ste 2, Chicago, IL 60659Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Locations

3420 W Peterson Ave
Ste 2
Chicago, IL 60659
Phone (847) 769-8345

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1588497655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 W PETERSON AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593467",
            "telephone_number": "872-235-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W PETERSON AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593467",
            "telephone_number": "872-235-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "MADUPALLY",
        "authorized_official_first_name": "VIJAY KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-235-7035"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.