Organization Active NPI

Serviam Diagnostics Lab LLC

  • Clinical Medical Laboratory
  • Des Plaines, IL
National Provider Identifier
1760258149
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SERVIAM DIAGNOSTICS LAB LLC
Practice address
2250 E Devon Ave Ste 328
Des Plaines, IL 60018-4529
Phone
(773) 527-0600
Fax
(470) 297-5495
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Patrick Oneill
Title
Ceo
Phone
(773) 527-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2250 E Devon Ave Ste 328
Des Plaines, IL 60018-4529

Mailing address

6299 Nall Ave Ste 200
Mission, KS 66202-3547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118003852 IL Part B Supplier - Independent Clinical Laboratory 8022460682 Practice locations: Des Plaines, 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
14D2292053Serviam Diagnostics Lab LLC2250 E Devon Ave - Ste 328, Des Plaines, IL 60018AccreditationJan 20, 2027

National Provider Directory

National Provider Directory

Locations

2250 E Devon Ave
Ste 328
Des Plaines, IL 60018
Phone (773) 527-0600

6299 Nall Ave
Ste 200
Mission, KS 66202
Phone (913) 384-0044

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1760258149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6299 NALL AVE STE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 E DEVON AVE STE 328",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184529",
            "telephone_number": "773-527-0600",
            "fax_number": "470-297-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVIAM DIAGNOSTICS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-527-0600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.