Active NPI
Nextline Laboratory LLC
- Clinical Medical Laboratory
- Skokie, IL
National Provider Identifier
1750263877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251008000544 | IL | Part B Supplier - Independent Clinical Laboratory | 0244737161 | Practice locations: Skokie, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2324458 | Nextline Laboratory LLC | Registration | May 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.