OrganizationActive
K52 LLC
NPI 1477205292 · Clinical Medical Laboratory · Peoria, IL
Provider details
- NPI number
- 1477205292
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Fatima Samreen, Manager(312) 532-1885
Specialties & taxonomies
Laboratories
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
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
4325 N Jesters Ct
Ste 9
Peoria, IL 61614
Phone: (312) 532-1885
Approximate (ZIP-level) locationGet directions
Mailing address
1815 E Camp Mcdonald Rd
Mount Prospect, IL 60056-1723
Registry dates
- Enumerated
- 2022-01-23
- Last updated
- 2022-04-07
- Certified
- 2022-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.