MEDSTAR LABORATORY, INC (NPI# 1144202003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144202003 |
| Entity Type | Organization |
| Organization Name | MEDSTAR LABORATORY, INC |
| Practice Address |
4531 Harrison St Hillside IL 60162-1614 |
| Practice Telephone | 7084881000 |
| Practice Fax Number | 7084881831 |
| Mailing Telephone | 7084881000 |
| Mailing Fax Number | 7084881831 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2015-09-17 |
| Authorized Official Name | RAJ N PATEL (VICE PRESIDENT) |
| Authorized Official Telephone | 7084881000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 14D0945905 | IL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1144202003 | 01 | |
| PTAN | 506110 | 01 |
| Street Address |
4531 HARRISON ST |
| City | HILLSIDE |
| State | IL |
| Zip Code | 60162-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345216 | Oakwood Medical Services Inc | Durable Medical Equipment & Medical Supplies | 4747 Charles St, Hillside, IL 60162 | 2018-08-13 |
| 1316187453 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 120 S Mannheim Road, H01, Hillside, IL 60162 | 2009-03-03 |
| 1679729891 | Daniel J. Desalvo | Dentist | 321 N. Hillside Ave, Hillside, IL 60162 | 2008-08-08 |
| 1124163332 | Aspire of Illinois | Occupational Therapist | 1815 S Wolf Rd, Hillside, IL 60162 | 2007-02-21 |
| 1558409243 | Sayeeda Yasmin | Internal Medicine | Renaissance At Hillside, Hillside, IL 60162 | 2007-02-02 |
| 1114088226 | Health Options of Il, Inc | Case Management | 4415 W. Harrison Street, 300, Hillside, IL 60162 | 2006-12-12 |
| 1699860213 | Hinsdale Physicians Healthcare Association, Inc. | Health Maintenance Organization | 4415 West Harrison Street, Suite 300, Hillside, IL 60162 | 2006-10-03 |
| 1467477059 | Magdoleen Nessim | Internal Medicine | 4413 W Roosvelt Rd, 101, Hillside, IL 60162 | 2006-07-13 |
| 1174030381 | Kristian Shumate | Occupational Therapist | 1815 S Wolf Rd, Hillside, IL 60162 | 2018-01-09 |
| 1710374988 | Kimberly Charo | Registered Nurse | 5024 W Hawthorne Ave, Hillside, IL 60162-1010 | 2015-04-24 |
| Find all providers in zip 60162 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295967149 | Soft Landing Labs Ltd | Clinical Medical Laboratory | 4531 Harrison St Fl 2, Hillside, IL 60162-1614 | 2009-08-11 |
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|---|---|---|---|---|
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| 1538770276 | Precision Phlebotomy Inc | Clinical Medical Laboratory | 9241 S Roberts Rd, Hickory Hills, IL 60457-3809 | 2020-08-15 |
| 1316558182 | Southwest Medical Solutions Inc | Clinical Medical Laboratory | 5533 W 109th St Ste 101, Oak Lawn, IL 60453-5058 | 2020-08-13 |
| 1083232946 | Sjs Medical Labs, LLC D/b/a Arcpoint Labs of Libertyville | Clinical Medical Laboratory | 1659 Northwind Blvd, Libertyville, IL 60048-9613 | 2020-07-08 |
| 1922625961 | Abil Corporation | Clinical Medical Laboratory | 1375 Remington Rd Ste A, Schaumburg, IL 60173-4844 | 2020-06-25 |
| 1588280622 | Radiance Biosciences and Consultancy, LLC | Clinical Medical Laboratory | 1260 Iroquois Ave Ste 302, Naperville, IL 60563-8549 | 2020-06-24 |
| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.