Active NPI
Simple Laboratories LLC
- Clinical Medical Laboratory
- Harwood Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SIMPLE LABORATORIES LLC
- Practice address
- 7444 W Wilson Ave Ste 111
Harwood Heights, IL 60706-4500 - Phone
- (773) 775-6697
- Fax
- (773) 763-7331
- NPI assigned
- Apr 24, 2014
- Last updated
- Jan 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hilda M Tirado
- Title
- SNR RCM Billing Manager
- Phone
- (773) 775-6697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
7444 W Wilson Ave Ste 111
Harwood Heights, IL 60706-4500
Mailing address
7444 W Wilson Ave Ste 111
Harwood Heights, IL 60706-4500
Phone (773) 775-6697
Other practice location 1
5255 Golf Rd
Skokie, IL 60077-1106
Phone (773) 775-6697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140714002293 | IL | Part B Supplier - Independent Clinical Laboratory | 1456576149 | Practice locations: Harwood Heights, IL; Skokie, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0646644 | Simple Laboratories | Compliance | Feb 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
5960 N Milwaukee Ave
Chicago, IL 60646
Phone (224) 243-4819
7444 W Wilson Ave
Ste 111
Harwood Heights, IL 60706
Phone (773) 775-6697
7444 W Wilson Ave
Ste 112
Harwood Heights, IL 60706
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Advanced Practice Midwife
- Chicago, IL
- NPI 1689623274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1023438397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7444 W WILSON AVE STE 111",
"city": "HARWOOD HEIGHTS",
"state": "IL",
"postal_code": "607064500",
"telephone_number": "773-775-6697",
"fax_number": "708-831-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7444 W WILSON AVE STE 111",
"city": "HARWOOD HEIGHTS",
"state": "IL",
"postal_code": "607064500",
"telephone_number": "773-775-6697",
"fax_number": "773-763-7331"
}
],
"practiceLocations": [
{
"address_1": "5255 Golf Rd",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600771106",
"country_code": "US",
"telephone_number": "773-775-6697",
"fax_number": "708-831-4257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SIMPLE LABORATORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-24",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "TIRADO",
"authorized_official_first_name": "HILDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SNR RCM BILLING MANAGER",
"authorized_official_telephone_number": "773-775-6697"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harwood Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.