Soft Landing Labs LTD
Organization Active NPI Clinical Medical Laboratory · Hillside, IL
NPI 1295967149 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1295967149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- 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
- Organization subpart
- No
Authorized official
- Name
- Rajesh N Patel
- Title
- Vice President
- Phone
- (708) 488-1000
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100205000075 | IL | Part B Supplier - Independent Clinical Laboratory | 7315080868 | Practice locations: Hillside, IL |
National Provider Directory
Locations
4531 Harrison St
Fl 2
Hillside, IL 60162
Phone (630) 758-0030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes | ||
| 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
Other providers in Hillside, IL
- Mohammed Shafiuddin
- Aman Shamsuddin
- Aaron Shpayher
- Samantha Marie Siepak
- Martin Slowinski
- Richard Staiert
- SVP Optometry LTD
- Swedish Covenant Managed Care Alliance, Inc.
- Symphony Aria LLC
- Tori Takata
All providers in Hillside, IL · Clinical Medical Laboratory in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.