Active NPI
Soft Landing Labs LTD
- Clinical Medical Laboratory
- Hillside, IL
National Provider Identifier
1295967149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SOFT LANDING LABS LTD
- Practice address
- 4531 Harrison St FL 2
Hillside, IL 60162-1614 - Phone
- (630) 758-0030
- Fax
- (708) 318-4182
- NPI assigned
- Aug 11, 2009
- Last updated
- May 8, 2024
- 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
- Rajesh N Patel
- Title
- Vice President
- Phone
- (708) 488-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary | ||
| Clinical Medical Laboratory | 291U00000X | 14D1099838 | IL |
Addresses
Primary practice location
4531 Harrison St FL 2
Hillside, IL 60162-1614
Mailing address
4531 Harrison St FL 2
Hillside, IL 60162-1614
Phone (630) 758-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100205000075 | IL | Part B Supplier - Independent Clinical Laboratory | 7315080868 | Practice locations: Hillside, IL |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
747 N Church Rd
Ste F4
Elmhurst, IL 60126
Phone (630) 358-7555
4531 Harrison St
Fl 2
Hillside, IL 60162
Phone (630) 758-0030
1S224 Summit Ave
Ste 310
Oakbrook Terrace, IL 60181
Phone (630) 932-9690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1295967149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 HARRISON ST FL 2",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601621614",
"telephone_number": "630-758-0030",
"fax_number": "708-318-4182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 HARRISON ST FL 2",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601621614",
"telephone_number": "630-758-0030",
"fax_number": "708-318-4182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOFT LANDING LABS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-11",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RAJESH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "708-488-1000"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IL",
"license": "14D1099838",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.