Organization Active NPI

Nani Lab LLC

  • Clinical Medical Laboratory
  • Oak Brook, IL
National Provider Identifier
1811472186
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NANI LAB LLC
Practice address
120 W 22ND St Ste 300
Oak Brook, IL 60523-4071
Phone
(630) 974-5000
NPI assigned
Oct 2, 2018
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Mr. Manish TannaNPI 1821096470
Title
President
Phone
(630) 573-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

120 W 22ND St Ste 300
Oak Brook, IL 60523-4071

Mailing address

120 W 22ND St Ste 300
Oak Brook, IL 60523-4071

Other practice location 1

7836 W Jefferson Blvd Ste 10
Fort Wayne, IN 46804-4165
Phone (260) 494-3484

National Provider Directory

National Provider Directory

Locations

6514 Solutions Ctr
Chicago, IL 60677

120 W 22nd St
Ste 300
Oak Brook, IL 60523
Phone (630) 974-5000

7836 W Jefferson Blvd
Ste 10
Fort Wayne, IN 46804

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1811472186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234071",
            "telephone_number": "630-974-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7836 W Jefferson Blvd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044165",
            "country_code": "US",
            "telephone_number": "260-494-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NANI LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "TANNA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-573-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.