Active NPI
Surepoint Diagnostics Inc.
- Clinical Medical Laboratory
- Flossmoor, IL
National Provider Identifier
1780414938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SUREPOINT DIAGNOSTICS INC.
- Practice address
- 19624 Governors Hwy Ste 204
Flossmoor, IL 60422-2077 - Phone
- (708) 850-7853
- NPI assigned
- Aug 2, 2024
- 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
- Mrs. Ashley Kathrine Sahakian
- Title
- President
- Phone
- (708) 850-7853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
19624 Governors Hwy Ste 204
Flossmoor, IL 60422-2077
Mailing address
19624 Governors Hwy Ste 204
Flossmoor, IL 60422-2077
Phone (708) 850-7853
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 |
|---|---|---|---|
| 14D2313030 | Surepoint Diagnostics, Inc | Certificate of waiver | Oct 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
19624 Governors Hwy
Ste 204
Flossmoor, IL 60422
Phone (708) 850-7853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1780414938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19624 GOVERNORS HWY STE 204",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222077",
"telephone_number": "708-850-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19624 GOVERNORS HWY STE 204",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222077",
"telephone_number": "708-850-7853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUREPOINT DIAGNOSTICS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "SAHAKIAN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "KATHRINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-850-7853",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
- Carla Latrise Stewart, NCC, LCPC, BCPCC
- Melissa R. Strick, LCPC
- Jasmine Studway, LCSW
- Kimberly Studzinksi
- Sunrise Third (Pool 1), LLC.
- Susan Vorwerk Mat CCC SLP Speech & Language Pathology Services PC
- Steven J Szymkowiak, MA, ATC, CSCS
- Marilyn K. Tapajna, M.A.T.CCC-SLP
- Latoshma Taylor
- Latrice M Taylor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.