Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omni Diagnostic Laboratory Inc

Organization Clinical Medical Laboratory · NPI 1154022200

Omni Diagnostic Laboratory Inc is a Clinical Medical Laboratory in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5866 N Lincoln Ave Ste 103
Chicago, IL 60659-4632
Phone: (773) 574-8743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1154022200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Azheruddin — Authorized Official · (773) 943-2487
NPI enumeratedMarch 15, 2023
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address5866 N Lincoln Ave Ste 103, Chicago, IL 60659-4632

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