Organization Active NPI

Medplus Laboratory LLC

  • Clinical Medical Laboratory
  • Evergreen Park, IL
National Provider Identifier
1598660847
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDPLUS LABORATORY LLC
Practice address
3830 W 95TH St Ste 104&106
Evergreen Park, IL 60805-2004
Phone
(682) 238-8525
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Raghuveera Reddy Chintalacheruvu
Title
Owner
Phone
(682) 238-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

3830 W 95TH St Ste 104&106
Evergreen Park, IL 60805-2004

Mailing address

3830 W 95TH St Ste 104&106
Evergreen Park, IL 60805-2004
Phone (682) 238-8525

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1598660847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST STE 104&106",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "682-238-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST STE 104&106",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "682-238-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "CHINTALACHERUVU",
        "authorized_official_first_name": "RAGHUVEERA REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-238-8525"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

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

Verify at the official NPI Registry.