Organization Active NPI

Accurate Covid Testing LLC

  • Clinical Medical Laboratory
  • Bridgeview, IL
National Provider Identifier
1942965959
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ACCURATE COVID TESTING LLC
Practice address
9449 Odell Ave
Bridgeview, IL 60455-2115
Phone
(703) 896-2039
NPI assigned
Nov 4, 2021
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Mohammed H Abu Realh
Title
Manager
Phone
(703) 896-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

9449 Odell Ave
Bridgeview, IL 60455-2115

Mailing address

9449 Odell Ave
Bridgeview, IL 60455-2115
Phone (703) 896-2039

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL COMCAST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122002780 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3577952019 Practice locations: Bridgeview, IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1942965959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 ODELL AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552115",
            "telephone_number": "703-896-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 ODELL AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552115",
            "telephone_number": "703-896-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE COVID TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "ABU REALH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-896-2039"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMCAST",
            "affiliation": "N",
            "endpointDescription": "COMCAST NETWORK",
            "address_1": "9449 ODell Ave",
            "city": "Bridgeview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604552115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.