Stat Mobile Phlebotomy and Laboratory LLC – Clinical Medical Laboratory, NPI 1659965887
Clinical Medical Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Stat Mobile Phlebotomy and Laboratory LLC
3202 7TH ST APT 102
PARK CITY, IL 600856985
Phone: (872) 813-4712
Fax: (872) 813-5255
Type: Mailing
1700 N BERWICK BLVD APT K212
WAUKEGAN, IL 600851578
Phone: (312) 508-0530
Fax: (872) 813-5255
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2022-06-10
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220610001661 | O | Independent Clinical Laboratory | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| P9603 | 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 | 462,277 | 213 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 581 | 271 | $0 |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 407 | 111 | $0 |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 400 | 77 | $0 |
| 85610 | Blood test, clotting time | 296 | 41 | $0 |
Insurance plans in this area (ZIP 60085)
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