Hematogenix Laboratory Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HEMATOGENIX LABORATORY SERVICES, LLC

Practice address

8150 185TH St
Suite a
Tinley Park, IL 60487-9229

Phone

(708) 444-0444

Fax

(708) 444-0445

NPI assigned

Dec 27, 2007

Last updated

Dec 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hytham Al-Masri, MDNPI 1841299591

Title

President

Phone

(708) 444-0444

Specialties & licenses 2

Addresses

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

Locations

Practitioners 2

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.

• Hytham Al-Masri, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Tinley Park, IL
  • NPI 1841299591

  Clinical Medical Laboratory

  NPD (past) Authorized official
• Mazen Khubieh

  • Anatomic Pathology & Clinical Pathology Physician
  • Tinley Park, IL
  • NPI 1043147515
  NPD (past)

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1831373836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 185TH ST",
            "address_2": "SUITE A",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879229",
            "telephone_number": "708-444-0444",
            "fax_number": "708-444-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 185TH ST",
            "address_2": "SUITE A",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879229",
            "telephone_number": "708-444-0444",
            "fax_number": "708-444-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOGENIX LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "AL-MASRI",
        "authorized_official_first_name": "HYTHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-444-0444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elly Heber
• Crystalyn Heidegger
• Amy Heim, PHD
• Geneve Lynn Hein, MA
• Helping Hands LLC
• Waikeen Henderson
• Courtney Henley
• Aileen Mary Henneberry, BCBA
• Hannah Grace Henrichsen, PA-C
• Brandie Henry

• Clinical Medical Laboratory in Tinley Park, IL
• Providers in Tinley Park, 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 8, 2023; 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.