OAK CREST LABORATORY SERVICES, INC – Clinical Medical Laboratory, NPI 1205876554

OAK CREST LABORATORY SERVICES, INC is a healthcare provider. based in Algonquin, Illinois. specializing in Clinical Medical Laboratory. The organization holds a License No. 14D0418588 (IL). The NPI Number for OAK CREST LABORATORY SERVICES, INC is 1205876554

Main info

Organization
Name
OAK CREST LABORATORY SERVICES, INC
NPI
1205876554
Phone
(708) 634-6180
Address
1452 MERCHANT DR UNIT B
Authorized Official
MR. RUSSELL JOHN GAMBINO JR. PRESIDENT
Enumeration Date
7 June 2006
Last Update Date
8 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for OAK CREST LABORATORY SERVICES, INC

  • 1452 MERCHANT DR UNIT B

    ALGONQUIN, IL 601025917

    Phone: (708) 634-6180

    Fax: (708) 634-6181

    Type: Mailing

  • 10522, South Cicero Avenue, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    307

    OAK LAWN, IL 604535200

    Phone: (708) 425-5359

    Fax: (708) 425-3047

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (803 days ago).

Enrollment records

1

Earliest due date

2024-03-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040416000360OIndependent Clinical LaboratoryIL2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled54,705318$0
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count21,9601,163$0
87186Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution7,069477$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4,5962,032$0
80053Blood test, comprehensive group of blood chemicals3,5211,704$0
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Insurance plans in this area (ZIP 60102)

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Reviews

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Frequently asked questions

How do payers reference OAK CREST LABORATORY SERVICES, INC?
For OAK CREST LABORATORY SERVICES, INC, use NPI 1205876554 as the unique 10-digit identifier.
Active or inactive — what applies to OAK CREST LABORATORY SERVICES, INC?
You should see OAK CREST LABORATORY SERVICES, INC as active in CMS-hosted NPPES data.
What area of care is associated with OAK CREST LABORATORY SERVICES, INC?
OAK CREST LABORATORY SERVICES, INC's record emphasizes Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
What locale is associated with OAK CREST LABORATORY SERVICES, INC?
Directory geography for OAK CREST LABORATORY SERVICES, INC centers on Algonquin, Illinois.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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