MEDICARE: XLNC HEALTH PROVIDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1801783451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XLNC HEALTH PROVIDERS

Provider Business Mailing Address
First Line	:	601 W CENTRAL RD STE 7
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-2379
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 W CENTRAL RD STE 7
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-2379
Country	:	US
Telephone Number	:	872-330-8075
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VIVEK GATLA
Credential	:
Telephone Number	:	872-330-8075

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/03/2026

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Directions to “XLNC HEALTH PROVIDERS ” Practice Location

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