Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Modern Laboratory Incorporated

Clinical Medical Laboratory in Glendale Heights, IL · enumerated 2008 · authorized official Prasanta Ghose, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366612731

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Registry record

Entity type Organization (Type 2)

Legal business name Modern Laboratory Incorporated

Practice address 1793 Bloomingdale Rd Ste 1, Glendale Heights, IL, 60139

Phone (630) 933-8101

Fax (630) 933-8105

Enumeration date Mar 3, 2008

Last updated in NPPES Sep 18, 2014

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 291U00000X (IL) Primary

Authorized official

Name Prasanta Ghose

Title President

Phone (630) 933-8101

Other identifiers

Identifier	Type	State	Issuer
14D1079331	Other	IL	CLIA
216691	Other	IL	PTAN

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.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-09-18. Verify at npiregistry.cms.hhs.gov.

Where is Modern Laboratory Incorporated located?

The practice location on file with NPPES is in Glendale Heights, IL.

Providers at this address

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A,General Lab Corp Clinical Medical Laboratory · Glendale Heights, IL NPI 1689879249

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-09-18.