Organization Active NPI

Alpha LLC

  • Clinical Medical Laboratory
  • Elmhurst, IL
National Provider Identifier
1043115595
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALPHA LLC
Practice address
627 N York St Unit 154
Elmhurst, IL 60126-1620
Phone
(902) 102-1050
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Ricardo Cruz Nieves
Title
Manager
Phone
(902) 102-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

627 N York St Unit 154
Elmhurst, IL 60126-1620

Mailing address

627 N York St Unit 154
Elmhurst, IL 60126-1620
Phone (902) 102-1050

National Provider Directory

National Provider Directory
Tax ID family
Alpha LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1043115595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 N YORK ST UNIT 154",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261620",
            "telephone_number": "902-102-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 N YORK ST UNIT 154",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261620",
            "telephone_number": "902-102-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "CRUZ NIEVES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "902-102-1050"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.