Organization Active NPI

Nexora Diagnostics Inc.

  • Clinical Medical Laboratory
  • Niles, IL
National Provider Identifier
1689521577
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEXORA DIAGNOSTICS INC.
Practice address
8961 W Golf Rd
Niles, IL 60714-5812
Phone
(224) 648-9753
NPI assigned
Mar 11, 2026
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Nazim Uddin Mohammed
Title
President
Phone
(224) 648-9753

Specialties & licenses 1

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

Addresses

Primary practice location

8961 W Golf Rd
Niles, IL 60714-5812

Mailing address

8961 W Golf Rd
Niles, IL 60714-5812

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
14D2342958Nexora Diagnostics Inc8961 Golf Rd, Niles, IL 60714RegistrationApr 28, 2028

National Provider Directory

National Provider Directory

Locations

8961 W Golf Rd
Niles, IL 60714
Phone (224) 567-8586

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1689521577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145812",
            "telephone_number": "224-648-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXORA DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "NAZIM UDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-648-9753"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.