Active NPI
Christon Sahakian
- Clinical Medical Laboratory
- Olympia Fields, IL
National Provider Identifier
1841958030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Wellness Inc | Clinical Medical Laboratory | Current | 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.
-
- Home Health Agency
- Olympia Fields, IL
- NPI 1629842422
-
- Clinical Medical Laboratory
- Olympia Fields, IL
- NPI 1205594397
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.