MMM Diagnostic Center Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MMM DIAGNOSTIC CENTER INC

Practice address

330 E Roosevelt Rd Ste 150
Lombard, IL 60148-4662

Phone

(708) 669-8176

Fax

(630) 274-4308

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Ahmed Ganatra

Title

Owner

Phone

(708) 669-8176

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed A Mazher, AO

  • Clinical Medical Laboratory
  • Lombard, IL
  • NPI 1144978180
  NPD

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1649928607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E ROOSEVELT RD STE 150",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484662",
            "telephone_number": "708-669-8176",
            "fax_number": "630-274-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E ROOSEVELT RD STE 150",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484662",
            "telephone_number": "708-669-8176",
            "fax_number": "630-274-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMM DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "GANATRA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-669-8176"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Collective Counseling PLLC
• Mindful Journeys Therapy and Wellness
• Ranko Miocinovic, M.D.
• Jon James Mirabito, PA-C
• Subhasree Misra, M.D.
• Raymond Mark Moccio, DDS
• Amina Mohamed
• Sheikvakitha Mohamednainar
• Ayesha Mohammad, RDN
• Mohan C Airan MD SC

• Clinical Medical Laboratory in Lombard, IL
• Providers in Lombard, 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 6, 2024; 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.