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LEILANI LABORATORY , NPI 1912909961

Clinical Medical Laboratory in CHICAGO, IL

Last Updated on : Aug 22,2020

About LEILANI LABORATORY (NPI 1912909961)


LEILANI LABORATORY is a Clinical Medical Laboratory in CHICAGO, United States

1912909961 is NPI number of LEILANI LABORATORY.

LEILANI LABORATORY's primary taxonomy code based on NPI Lookup is 291U00000X with license number 14D0997741. This taxonomy code refers to Clinical Medical Laboratory.

LEILANI LABORATORY current practice location address is 4320 W MONTROSE AVE, CHICAGO, IL. LEILANI LABORATORY can be reached out via phone at 773-283-0944 and via fax at 773-283-0882 .

You can also correspond with LEILANI LABORATORY through mail at mailing address 4320 W MONTROSE AVE, CHICAGO, IL, United States. Mailing address contact number is 773-283-0944.

The enumeration date of LEILANI LABORATORY is 02-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 2 years ago.

The authorized official of LEILANI LABORATORY is FLORA SAMPANG (PRESIDENT). FLORA SAMPANG can be reached at 7732830944.

1912909961 NPI Information

Name LEILANI LABORATORY
National Provider Id (NPI) 1912909961
Entity Type Organization
Practice Address 4320 W MONTROSE AVE, STE C
CHICAGO, IL, United States
Practice Telephone 773-283-0944
Practice Fax Number 773-283-0882
Mailing Address 4320 W MONTROSE AVE , STE C
CHICAGO, IL, United States
Mailing Telephone 773-283-0944
Mailing Fax Number 773-283-0882
Enumeration Date 02-Jun-2005
Last Updated Date 22-Aug-2020

LEILANI LABORATORY (NPI 1912909961) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 291U00000X Clinical Medical Laboratory 14D0997741 IL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
14D0997741 Other (non-Medicare) (01) IL CLIA
1632963 Other (non-Medicare) (01) IL BLUE CROSS BLUE SHIELD
205952 MEDICARE ID-Type Unspecified (04) IL
=========001 MEDICAID (05) IL

LEILANI LABORATORY (NPI 1912909961) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1326062712 PINAL DOSHI Internal Medicine 75 REMITTANCE DRIVE DEPT 6008,
CHICAGO, CA, United States
27-Jul-2006
1104833516 EDWARDO TELLEZ Pediatrics 75 REMITTANCE DRIVE DEPT 6008,
CHICAGO, CA, United States
01-Aug-2006
1356638720 KIMBERLY BRENNAN Physical Therapist 1717 W DIVERSEY PKWY,
CHICAGO, IL, United States
06-Jul-2011
1619135175 MICHELLE RUIZ MINA Physical Medicine & Rehabilitation 401 NORTH MICHIGAN AVE,, STE 1200
CHICAGO, FL, United States
30-May-2008
1952507238 RUSSELL J AUSTIN Dentist 1532 W 99TH ST,
CHICAGO, FL, United States
25-Jun-2007
1104943406 KIDZ HEALTH P.C. Clinic/Center, Health Services 4655 NORTH ELSTON AVENUE,
CHICAGO, IA, United States
23-Mar-2007
1740789064 APRIL M TEACHOUT Developmental Therapist 3153 S. LAWNDALE AVE,
CHICAGO, ID, United States
02-Feb-2018
1366610669 WEST TOWN SATELLITE CENTER Clinic/Center 1613 W. CHICAGO,
CHICAGO, ID, United States
20-Feb-2008
1073071338 VICTORIA NIEMAN Counselor, Professional 1338 NORTH LASALLE, UNIT 3F
CHICAGO, ID, United States
06-Mar-2019
1073856118 SHIRAZ RAHIM Student in an Organized Health Care Education/Training Program 180 HARVESTER DR STE 110,
BURR RIDGE, IL, United States
27-Mar-2013
1457989873 ALEXANDER MITCHELL KRULE Student in an Organized Health Care Education/Training Program UNIVERSITY OF ILLINOIS MEDICAL CENTER DEPT OF GME, 820 S WOOD STREET MC675
CHICAGO, ID, United States
31-Mar-2020
1932782877 BENJAMIN STOLTENBERG Student in an Organized Health Care Education/Training Program UIC PEDIATRICS RESIDENCY, 840 S. WOOD STREET, RM 1403 (MC 856)
CHICAGO, ID, United States
29-Apr-2021
1881122513 PETER THEISS Student in an Organized Health Care Education/Training Program 300 N CANAL ST APT 711,
CHICAGO, IL, United States
25-May-2017
1912312547 MARILYN FEATHERSTON Pediatrics 1725 W HARRISON ST STE 710,
CHICAGO, IL, United States
23-Jun-2014
1053805044 ROBERT BROWNING Orthopaedic Surgery 2009 W HURON ST. #2R,
CHICAGO, ID, United States
21-Jun-2018
1861914244 ALEJANDRA FABIAN MARTINEZ Speech-Language Pathologist, 2646 W. 22ND PLACE,
CHICAGO, ID, United States
07-Jul-2017
1669028627 SKYLAR NAHI Student in an Organized Health Care Education/Training Program NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, 240 E HURON STREET, SUITE 1-200
CHICAGO, ID, United States
15-Aug-2019
1093298044 SLATON CASE Student in an Organized Health Care Education/Training Program NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, 240 E HURON STREET, SUITE 1-200
CHICAGO, ID, United States
14-Sep-2018
1295986834 ANNETTE LOUISE GASIOR Dentist, General Practice 6820 S. PULASKI RD,
CHICAGO, ID, United States
01-Oct-2008
1811414055 MADELINE CLARE MILLER Student in an Organized Health Care Education/Training Program 240 E HURON STREET, SUITE 1-200
CHICAGO, ID, United States
28-Aug-2017

FAQs

Whose NPI Number is 1912909961?

1912909961 is the NPI number of LEILANI LABORATORY.

Where is LEILANI LABORATORY located?

LEILANI LABORATORY is located at 4320 W MONTROSE AVE, CHICAGO, IL.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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