Organization Active NPI

Starlab Diagnostics Inc

  • Diagnostic Ultrasound Physician
  • Franklin Park, IL
National Provider Identifier
1093211518
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
STARLAB DIAGNOSTICS INC
Practice address
9213 Parklane Ave Ste 101
Franklin Park, IL 60131-2837
Phone
(847) 802-2288
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Vermily Patelona
Title
Administrator
Phone
(847) 802-2288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary
Mobile Radiology Clinic/Center 261QR0208X

Addresses

Primary practice location

9213 Parklane Ave Ste 101
Franklin Park, IL 60131-2837

Mailing address

9213 Parklane Ave Ste 101
Franklin Park, IL 60131-2837

Other names 1

  • STARLAB DIAGNOSTICS INC Other name

National Provider Directory

National Provider Directory

Locations

9213 Parklane Ave
Ste 101
Franklin Park, IL 60131
Phone (847) 802-2288

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1093211518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 PARKLANE AVE STE 101",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9213 PARKLANE AVE STE 101",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312837",
            "telephone_number": "847-802-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLAB DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "PATELONA",
        "authorized_official_first_name": "VERMILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-802-2288"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARLAB DIAGNOSTICS INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.