PPG LABS LLC – Clinical Medical Laboratory, NPI 1255092250

PPG LABS LLC is a healthcare provider. based in Franklin park, Illinois. specializing in Clinical Medical Laboratory. The NPI Number for PPG LABS LLC is 1255092250

Main info

Organization
Name
PPG LABS LLC
NPI
1255092250
Phone
(312) 434-7117
Address
2416 MANNHEIM RD
Authorized Official
KHALED ALTAWAFSHAH CEO/OWNER
Enumeration Date
3 January 2022
Last Update Date
17 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for PPG LABS LLC

  • 2416 MANNHEIM RD

    FRANKLIN PARK, IL 601313133

    Phone: (312) 434-7117

    Type: Mailing

  • 33 W ROOSEVELT RD STE H

    LOMBARD, IL 601484401

    Phone: (847) 269-0749

    Type: Location

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: 2022-06-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20220608000274OIndependent Clinical LaboratoryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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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
G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source10,0061,041$0
U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r9,8661,017$0
U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within9,8121,015$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1,041221$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen772175$0
View full utilization report →

Insurance plans in this area (ZIP 60131)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for PPG LABS LLC?
PPG LABS LLC — NPI 1255092250 — is the standard way to identify this listing.
Does CMS list PPG LABS LLC as active?
Yes — PPG LABS LLC is active in the NPI listing used on this page.
What is PPG LABS LLC best known for clinically?
Directory data describes PPG LABS LLC with Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
Where is PPG LABS LLC based?
PPG LABS LLC is tied to Franklin Park, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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