Mobile Health Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOBILE HEALTH LABS LLC

Practice address

2644 Dempster St Ste 202
Park Ridge, IL 60068-8431

Phone

(224) 361-3054

Fax

(224) 875-3040

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Ninef John IshooNPI 1902798861

Title

Lab Director

Phone

(312) 804-3794

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ninef John Ishoo

  • Medical Laboratory Technician
  • Park Ridge, IL
  • NPI 1902798861
  NPD Authorized official

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1760072292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 DEMPSTER ST STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688431",
            "telephone_number": "224-361-3054",
            "fax_number": "224-875-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 DEMPSTER ST STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688431",
            "telephone_number": "224-361-3054",
            "fax_number": "224-875-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "ISHOO",
        "authorized_official_first_name": "NINEF",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "312-804-3794"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mittelman, M.D.
• Samantha Mizock, LCPC
• MJ Mendizabal PA-C MMS, P.C
• Chaeyoung Mo, M.D.
• Mobile Diagnostic Solutions, Inc
• Modernmed Recovery, LLC
• Ami Deepak Modi, DO
• Lesha Modi
• Mary Catherine Moellering, MD
• Michael D Moen, M.D.

• Clinical Medical Laboratory in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.