Organization Active NPI

Lumi Diagnostics LLC

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1992299119
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LUMI DIAGNOSTICS LLC
Practice address
2222 W Division St Ste 220
Chicago, IL 60622-3094
Phone
(773) 486-7800
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Authorized official

Name
Dr. Safdar Ali, MD
Title
Manager
Phone
(773) 486-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2222 W Division St Ste 220
Chicago, IL 60622-3094

Mailing address

10 York Lake CT
Oak Brook, IL 60523-2721
Phone (773) 486-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1992299119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 YORK LAKE CT",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232721",
            "telephone_number": "773-486-7800",
            "fax_number": "773-384-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST STE 220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223094",
            "telephone_number": "773-486-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMI DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SAFDAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-486-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.