Active NPI
Starlab Diagnostics Inc
- Diagnostic Ultrasound Physician
- Franklin Park, IL
National Provider Identifier
1093211518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.