Ppg Labs LLC
NPI 1255092250 · Clinical Medical Laboratory · Lombard, IL
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ppg Labs LLC is a Clinical Medical Laboratory organization in Lombard, IL (NPI 1255092250).
Provider details
- NPI number
- 1255092250
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Khaled Altawafshah, Ceo/Owner(630) 921-1078
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,773 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Detection Test By Nucleic Acid for Organism, Amplified Probe Technique87798 | 316 | $34 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 208 | $50 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 186 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 128 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 103 | $10 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 79 | $16 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-03
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Ppg Labs LLC's NPI number?
- Ppg Labs LLC's National Provider Identifier (NPI) is 1255092250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ppg Labs LLC?
- Ppg Labs LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Ppg Labs LLC located?
- Ppg Labs LLC's practice location on file with NPPES is 33 W Roosevelt Rd Ste H, Lombard, IL 60148-4401.
- What is Ppg Labs LLC's phone number?
- The practice phone number listed in the NPPES registry for Ppg Labs LLC is (847) 269-0749.
- Does Ppg Labs LLC accept Medicare?
- Ppg Labs LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ppg Labs LLC?
- The authorized official listed on Ppg Labs LLC's NPPES record is Khaled Altawafshah, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ppg Labs LLC's NPI active?
- Yes — Ppg Labs LLC's NPI (1255092250) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.