Individual provider Active NPI

Christon Sahakian

  • Clinical Medical Laboratory
  • Olympia Fields, IL
National Provider Identifier
1841958030
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
19900 Governors Dr Ste 300G
Olympia Fields, IL 60461-1059
Phone
(312) 586-0003
NPI assigned
Dec 4, 2021
Last updated
Dec 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X IL
Clinical Medical Laboratory 291U00000X IL Primary

Addresses

Primary practice location

19900 Governors Dr Ste 300G
Olympia Fields, IL 60461-1059

Mailing address

16927 Murphy Ave
Hazel Crest, IL 60429-1240
Phone (312) 586-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Express Wellness Inc Clinical Medical Laboratory CurrentSince Dec 12, 2021 Accepting new patients
Express Wellness Home Care LLC Current Accepting new patients

Locations

19900 Governors Dr
Ste 300G
Olympia Fields, IL 60461
Phone (312) 586-0003

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1841958030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16927 MURPHY AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291240",
            "telephone_number": "312-586-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 300G",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611059",
            "telephone_number": "312-586-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAKIAN",
        "first_name": "CHRISTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.