Omni Laboratory Services
Omni Laboratory Services is a healthcare organization registered as Clinical Medical Laboratory in Chicago, IL, holding Type 2 (organization) NPI 1063991735 since 2018. The authorized official on file is Gulam Taha Siddique, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063991735 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Omni Laboratory Services |
| Practice address | 5866 N LINCOLN AVE, STE 103, Chicago, IL, 60659 |
| Phone | 7732008059 |
| Enumeration date | 2018-08-13 |
| Last updated in NPPES | 2024-03-13 |
Authorized official
| Name | Gulam Taha Siddique |
|---|---|
| Title | Manager |
| Phone | 7732008059 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Copy-ready billing details
Provider: Omni Laboratory Services NPI: 1063991735 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 5866 N LINCOLN AVE, STE 103, Chicago, IL, 60659
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639322928 | Constantine Theodoropoulos | Individual | General Practice Dentistry | Chicago, IL |
| 1720384027 | Care Advocate, Inc. | Organization | Nursing Care Agency | Chicago, IL |
Verify this record
Cross-check NPI 1063991735 against the authoritative CMS record: view Omni Laboratory Services on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Omni Laboratory Services?
What is the NPI number for Omni Laboratory Services?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-13.