Organization Active NPI

My Advanced Lab Inc

  • Clinical Medical Laboratory
  • Hoffman Estates, IL
National Provider Identifier
1720971872
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MY ADVANCED LAB INC
Practice address
1800 McDonough Rd Ste 205
Hoffman Estates, IL 60192-4565
Phone
(630) 310-6132
NPI assigned
May 29, 2025
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Atif Hussain
Title
President
Phone
(630) 310-6132

Specialties & licenses 1

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

Addresses

Primary practice location

1800 McDonough Rd Ste 205
Hoffman Estates, IL 60192-4565

Mailing address

1800 McDonough Rd Ste 205
Hoffman Estates, IL 60192-4565
Phone (630) 310-6132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250718001382 IL Part B Supplier - Independent Clinical Laboratory 8729594650 Practice locations: Hoffman Estates, IL

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
14D2324622My Advanced Lab Inc1800 McDonough Rd, Suite 205, Hoffman Estates, IL 60192RegistrationMay 28, 2027

National Provider Directory

National Provider Directory

Locations

1800 McDonough Rd
Ste 205
Hoffman Estates, IL 60192
Phone (630) 310-6132

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1720971872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MCDONOUGH RD STE 205",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924565",
            "telephone_number": "630-310-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCDONOUGH RD STE 205",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924565",
            "telephone_number": "630-310-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ADVANCED LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-310-6132"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.