NPI Details
MODERN LABORATORY INCORPORATED is a clinical medical laboratory in Glendale Heights, IL. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. MODERN LABORATORY INCORPORATED NPI is 1366612731. The provider is registered as an organization entity type.
The provider's business location address is:
1793 BLOOMINGDALE RD STE 1
GLENDALE HEIGHTS, IL
ZIP 60139-800
Phone: (630) 933-8101
Fax: (630) 933-8105
The provider's authorized official is Prasanta K Ghose .
The authorized official title is President and has the following contact phone number (630) 933-8101.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled (HCPCS:P9603)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Blood test, clotting time (HCPCS:85610)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Hemoglobin a1c level (HCPCS:83036)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
- Bacterial culture for aerobic isolates (HCPCS:87077)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Bacterial colony count, urine (HCPCS:87086)
- Vitamin d-3 level (HCPCS:82306)
- Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge (HCPCS:P9604)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Thyroxine (thyroid chemical), total (HCPCS:84436)
- Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
- Urine microalbumin (protein) level (HCPCS:82043)
- Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
- Magnesium level (HCPCS:83735)
- Natriuretic peptide (heart and blood vessel protein) level (HCPCS:83880)
- Folic acid level, serum (HCPCS:82746)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Iron level (HCPCS:83540)
- Ferritin (blood protein) level (HCPCS:82728)
- Iron binding capacity (HCPCS:83550)
- Uric acid level, blood (HCPCS:84550)
- Thyroid hormone, t3 measurement, total (HCPCS:84480)
- Lactate dehydrogenase (enzyme) level (HCPCS:83615)
- Kidney function blood test panel (HCPCS:80069)
- Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
- Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
- Phosphate level (HCPCS:84100)
- Psa (prostate specific antigen) measurement, total (HCPCS:84153)
- Parathormone (parathyroid hormone) level (HCPCS:83970)
- Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
- Bacterial urine culture (HCPCS:87088)
- Acute hepatitis panel (HCPCS:80074)
- Digoxin level, total (HCPCS:80162)
- Thyroid hormone, t3 measurement, free (HCPCS:84481)
- Lipase (fat enzyme) level (HCPCS:83690)
The enumeration date for this NPI number is 3/3/2008 and was last updated on 9/18/2014.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | 291U00000X | ILLINOIS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 14D1079331 | OTHER | ILLINOIS | CLIA |
| 2 | 216691 | OTHER | ILLINOIS | PTAN |
