Organization Active NPI

Simple Laboratories LLC

  • Clinical Medical Laboratory
  • Harwood Heights, IL
National Provider Identifier
1023438397
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20140714002293 IL Part B Supplier - Independent Clinical Laboratory 1456576149 Practice locations: Harwood Heights, IL; Skokie, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0646644Simple Laboratories7444 W Wilson Ave, Harwood Heights, IL 60706ComplianceFeb 18, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.