Med X Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MED X DIAGNOSTICS LLC

Practice address

1800 W Hawthorne LN Unit Py1
West Chicago, IL 60185-1860

Phone

(630) 827-9781

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Masroor Shamsi

Title

Owner

Phone

(630) 827-9781

Specialties & licenses 1

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

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1831820745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HAWTHORNE LN UNIT PY1",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851860",
            "telephone_number": "630-827-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HAWTHORNE LN UNIT PY1",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851860",
            "telephone_number": "630-827-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED X DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "MASROOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-827-9781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mars Dental, LLC
• Matthew Waln, Inc
• Paul Matthews, MSW
• Stephanie McGinnis, PHARMD
• Jill McTeague
• Med X Medical Equipment Inc
• Elizabeth Medernach, MA
• Virginia Maria Mejia, LCSW CADC MISA II
• Tamara Merrick
• Michael a Schwartzman, DPM, LTD

• Clinical Medical Laboratory in West Chicago, IL
• Providers in West Chicago, 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 Jun 21, 2022; 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.