OrganizationActive
Medlab Technologies LLC
NPI 1649928136 · Clinical Medical Laboratory · Park Ridge, IL
Provider details
- NPI number
- 1649928136
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Mohammed Ahmed, President(603) 203-5442
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
1480 Renaissance Dr Ste 212
Park Ridge, IL 60068-1353
Phone: (603) 203-5442
Fax: (312) 858-3550
Street-level locationGet directions
Mailing address
1480 Renaissance Dr Ste 212
Park Ridge, IL 60068-1353
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.