WEST SUBURBAN LABORATORIES (NPI# 1417234964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417234964 |
| Entity Type | Organization |
| Organization Name | WEST SUBURBAN LABORATORIES |
| Practice Address |
715 Saint Charles Rd Glen Ellyn IL 60137-3621 |
| Practice Telephone | 6304187347 |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |
| Authorized Official Name | MISS ANDREA ANA DJAKOVAC (PRESIDENT) |
| Authorized Official Telephone | 6304187347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
715 SAINT CHARLES RD |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570809 | Caring Hands Lab & Phlebotomy, LLC | Technician, Pathology | 944 Roosevelt Rd, Glen Ellyn, IL 60137-7829 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001792 | Sarah Greyson | Technician, Pathology | 39 Sparrow Ct, Carpentersville, IL 60110-2268 | 2020-10-22 |
| 1891304259 | Park and Test LLC | Technician, Pathology | 2015 Ridge Ave, Evanston, IL 60201-2713 | 2020-07-30 |
| 1235759762 | Helena C Simms | Technician, Pathology | 16237 Honore Ave, Markham, IL 60428-5713 | 2020-04-24 |
| 1407499007 | You Matter We Care L.L.C. | Technician, Pathology | 1361 Manning Ave, Montgomery, IL 60538-1076 | 2019-10-26 |
| 1447891007 | Joy Viray | Technician, Pathology | 581 Burlington Ave Apt 5, Clarendon Hills, IL 60514-1183 | 2019-10-04 |
| 1326693235 | Trina Lavon Downs | Technician, Pathology | 15101 Grant St, Dolton, IL 60419-2628 | 2019-08-07 |
| 1336610807 | Caroline Arnould | Technician, Pathology | 832 N Galena Ave, Dixon, IL 61021-1519 | 2018-12-10 |
| 1801376470 | Shemekia Walker | Technician, Pathology | 2337 S 7th St, Springfield, IL 62703-3428 | 2018-08-14 |
| 1912413196 | Tamara Hobson | Technician, Pathology | 2211 Lawndale Ave, Rockford, IL 61103-4303 | 2017-12-24 |
| 1649690280 | Johnson Healthcare Services | Technician, Pathology | 10916 S Sangamon St, Chicago, IL 60643-3836 | 2014-04-22 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
Please comment or provide details below to improve the information on WEST SUBURBAN LABORATORIES.
| 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.