Active NPI
HKN Laboratories LLC
- Clinical Medical Laboratory
- Oak Park, IL
National Provider Identifier
1922997220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HKN LABORATORIES LLC
- Practice address
- 1246 Forest Ave
Oak Park, IL 60302 - Phone
- (773) 312-6718
- NPI assigned
- Jul 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikitha Reddy Gowraram
- Title
- President
- Phone
- (773) 312-6718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1246 Forest Ave
Oak Park, IL 60302
Mailing address
1246 Forest Ave
Oak Park, IL 60302
Phone (773) 312-6718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250806002568 | IL | Part B Supplier - Independent Clinical Laboratory | 5991213241 | Practice locations: Oak Park, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2325506 | HKN Laboratories LLC | Certificate of waiver | Jun 12, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751328000000",
"number": "1922997220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 FOREST AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60302",
"telephone_number": "773-312-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1246 FOREST AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60302",
"telephone_number": "773-312-6718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HKN LABORATORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-06-12",
"status": "A",
"authorized_official_last_name": "GOWRARAM",
"authorized_official_first_name": "NIKITHA REDDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-312-6718"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.