Organization Active NPI

Nextline Laboratory LLC

  • Clinical Medical Laboratory
  • Skokie, IL
National Provider Identifier
1750263877
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEXTLINE LABORATORY LLC
Practice address
7514 Skokie Blvd Ste 106
Skokie, IL 60077-3377
Phone
(773) 526-2892
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Azher Mohammed
Title
Owner
Phone
(773) 526-2892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7514 Skokie Blvd Ste 106
Skokie, IL 60077-3377

Mailing address

7514 Skokie Blvd Ste 106
Skokie, IL 60077-3377
Phone (773) 526-2892

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251008000544 IL Part B Supplier - Independent Clinical Laboratory 0244737161 Practice locations: Skokie, 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
14D2324458Nextline Laboratory LLC7514 Skokie Blvd Ste 106, Skokie, IL 60077RegistrationMay 22, 2027

National Provider Directory

National Provider Directory

Locations

7514 Skokie Blvd
Ste 106
Skokie, IL 60077
Phone (773) 526-2892

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1750263877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 SKOKIE BLVD STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773377",
            "telephone_number": "773-526-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 SKOKIE BLVD STE 106",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773377",
            "telephone_number": "773-526-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTLINE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "AZHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-526-2892"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.