OrganizationActive
Omni Diagnostic Laboratory Inc
NPI 1154022200 · Clinical Medical Laboratory · Chicago, IL
Provider details
- NPI number
- 1154022200
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Mohammed Azheruddin, Authorized Official(773) 943-2487
Specialties & taxonomies
Laboratories
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5866 N Lincoln Ave Ste 103
Chicago, IL 60659-4632
Phone: (773) 574-8743
Street-level locationGet directions
Mailing address
5866 N Lincoln Ave Ste 103
Chicago, IL 60659-4632
Registry dates
- Enumerated
- 2023-03-15
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.