Provider Demographics
NPI:1922997220
Name:HKN LABORATORIES LLC
Entity type:Organization
Organization Name:HKN LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIKITHA REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOWRARAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-312-6718
Mailing Address - Street 1:1246 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302
Mailing Address - Country:US
Mailing Address - Phone:773-312-6718
Mailing Address - Fax:
Practice Address - Street 1:1246 FOREST AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302
Practice Address - Country:US
Practice Address - Phone:773-312-6718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory