Yafa Medical Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

YAFA MEDICAL LAB INC

Doing business as

Yafa medical lab inc

Practice address

6815 W 95TH St
Oak Lawn, IL 60453-7000

Phone

(630) 269-7975

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Mohamad Khalifeh, BS.MTNPI 1215446034

Title

Lab Director

Phone

(630) 269-7975

Specialties & licenses 1

Addresses

Other names 1

• Yafa medical lab inc Doing business as

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

Practitioners 1

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

• Mohamad Y Khalifeh

  • Clinical Medical Laboratory
  • Palos Hills, IL
  • NPI 1215446034
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1760299010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604537000",
            "telephone_number": "630-269-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604537000",
            "telephone_number": "630-269-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAFA MEDICAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "KHALIFEH",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "630-269-7975",
        "authorized_official_credential": "BS.MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yafa medical lab inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicole Xu, MD
• Pratyusha Yadavalli, M.D.
• Christopher Yamat
• Sen-Lian Yang, MD
• Tahira Yasmeen, MD
• Brianna L. Yates, LCSW
• Urooj Yawer

• Clinical Medical Laboratory in Oak Lawn, IL
• Providers in Oak Lawn, 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 Dec 11, 2024; 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.