Active NPI
Medplus Laboratory LLC
- Clinical Medical Laboratory
- Evergreen Park, IL
National Provider Identifier
1598660847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.