Sudha1 LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUDHA1 LLC

Doing business as

Moon Lab

Practice address

95 W Thacker St
Schaumburg, IL 60194-3378

Phone

(847) 347-3907

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Jisit Vijay ZaveriNPI 1962113167

Title

President

Phone

(847) 347-3907

Specialties & licenses 1

Addresses

Other names 1

• Moon Lab 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.

• Jisit Zaveri, PHARM.D

  • Pharmacist
  • Munster, IN
  • NPI 1962113167
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1083366058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W THACKER ST",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943378",
            "telephone_number": "847-347-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W THACKER ST",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943378",
            "telephone_number": "847-347-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHA1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "ZAVERI",
        "authorized_official_first_name": "JISIT",
        "authorized_official_middle_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-347-3907"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moon Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Marie Styer, PSYD, LCPC
• Suburban Home Physicians,LLC
• Suburban Medical & Rehab Clinic, LTD
• Suburban Medical & Wellness Center, LLC
• Suburban Neurologists, S.C.
• Margaret Ann Sujack, DDS
• Sonja Sundstrom, LPC
• Geetha Sunny
• Superior Pharmacy Solutions, Inc.
• Zara Surani, NP

• Clinical Medical Laboratory in Schaumburg, IL
• Providers in Schaumburg, 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 Apr 7, 2022; 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.