Organization Active NPI

Accura Clinical Laboratory LLC

  • Health Service Clinic/Center
  • Glen Ellyn, IL
National Provider Identifier
1740107945
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ACCURA CLINICAL LABORATORY LLC
Practice address
800 Roosevelt Rd Ste 410430
Glen Ellyn, IL 60137-5839
Phone
(323) 579-3678
NPI assigned
Jun 30, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Anwar Mohammed
Title
Ceo
Phone
(323) 579-3678

National Provider Directory

Locations

800 Roosevelt Rd
Ste 410430
Glen Ellyn, IL 60137

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

NPPES NPI Registry

Primary practice location

800 Roosevelt Rd Ste 410430
Glen Ellyn, IL 60137-5839

Mailing address

800 Roosevelt Rd Ste 410430
Glen Ellyn, IL 60137-5839

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2026.

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1740107945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE 410430",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE 410430",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "323-579-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURA CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-579-3678"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.