OrganizationActive
State Scientific Lab LLC
NPI 1447914874 · Clinical Medical Laboratory · Stone Park, IL
Provider details
- NPI number
- 1447914874
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Fahad Gaffoor, President(773) 818-5550
Specialties & taxonomies
Laboratories
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1550 N Mannheim Rd Ste C
Stone Park, IL 60165-1300
Phone: (708) 223-0457
Street-level locationGet directions
Mailing address
1550 N Mannheim Rd Ste C
Stone Park, IL 60165-1300
Registry dates
- Enumerated
- 2021-10-22
- Last updated
- 2021-11-05
- Certified
- 2021-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.