Elite Diagnostics Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ELITE DIAGNOSTICS LABORATORIES LLC

Practice address

3540 Seven Bridges Dr Ste 130
Woodridge, IL 60517-1222

Phone

(630) 541-8680

Fax

(630) 541-8595

NPI assigned

Oct 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ali Alrefae, MS

Title

Lab Owner

Phone

(708) 475-1441

Specialties & licenses 1

Addresses

Other names 1

• Elite Diagnostics labs LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sami Tahseen Alnafi, MD

  • Student in an Organized Health Care Education/Training Program
  • Iowa City, IA
  • NPI 1750660981
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1013671502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR STE 130",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171222",
            "telephone_number": "630-541-8680",
            "fax_number": "630-541-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR STE 130",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171222",
            "telephone_number": "630-541-8680",
            "fax_number": "630-541-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DIAGNOSTICS LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ALREFAE",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "LAB OWNER",
        "authorized_official_telephone_number": "708-475-1441",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Diagnostics labs LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ebaugh Chiro LLC
• Shawn J Ebaugh, D.C.
• Edward Health Ventures
• Edward Health Ventures
• Rachel Mathew Eipe, PHARMD
• Ellen H. Dace, DMD, PLLC
• Scott L Ellis, PT, DPT
• Empowerme Rehabilitation Il Agency, LLC
• Empowerme Rehabilitation Illinois, LLC
• Jessica Ann Englehart, OTD, OTR

• Clinical Medical Laboratory in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.