Organization Active NPI

Nova Supplies Inc

  • Clinical Medical Laboratory
  • Elmhurst, IL
National Provider Identifier
1679462899
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NOVA SUPPLIES INC
Practice address
627 N York St Unit 127
Elmhurst, IL 60126-1620
Phone
(213) 571-9505
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Abdul Zubair Fnu
Title
Manager
Phone
(213) 571-9505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

627 N York St Unit 127
Elmhurst, IL 60126-1620

Mailing address

627 N York St Unit 127
Elmhurst, IL 60126-1620

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
14D2331376Nova Supplies Inc627 N York St - Unit 127, Elmhurst, IL 60126Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

627 N York St
Unit 127
Elmhurst, IL 60126
Phone (213) 571-9505

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1679462899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 N YORK ST UNIT 127",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 N YORK ST UNIT 127",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261620",
            "telephone_number": "213-571-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "FNU",
        "authorized_official_first_name": "ABDUL ZUBAIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-571-9505"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.