Organization Active NPI

Surepoint Diagnostics Inc.

  • Clinical Medical Laboratory
  • Flossmoor, IL
National Provider Identifier
1780414938
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Aug 19, 2024

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)CodeLicenseStatePrimary
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 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
14D2313030Surepoint Diagnostics, Inc19624 Governors Dr - Ste 205, Flossmoor, IL 60422Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.