Asterlation Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ASTERLATION INC

Practice address

9933 Franklin Ave Ste 2a
Franklin Park, IL 60131-1928

Phone

(847) 589-1234

Fax

(800) 604-1874

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ihtesham Ali Shah Mo Ali Shah Mohammed

Title

President

Phone

(847) 589-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1134811433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 FRANKLIN AVE STE 2A",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601311928",
            "telephone_number": "847-589-1234",
            "fax_number": "800-604-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 FRANKLIN AVE STE 2A",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601311928",
            "telephone_number": "847-589-1234",
            "fax_number": "800-604-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTERLATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-11-09",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "IHTESHAM ALI SHAH MO",
        "authorized_official_middle_name": "ALI SHAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-589-1234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14D2284961",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.