Trident Clinical Laboratory LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRIDENT CLINICAL LABORATORY LLC

Practice address

3030 Warrenville Rd Ste 273
Lisle, IL 60532-1000

Phone

(317) 891-4501

Fax

(312) 395-7290

NPI assigned

Jun 16, 2026

Organization subpart

No

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

Authorized official

Name

Asiya Begum

Title

Owner

Phone

(317) 891-4501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1306771670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 WARRENVILLE RD STE 273",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321000",
            "telephone_number": "317-891-4501",
            "fax_number": "312-395-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WARRENVILLE RD STE 273",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321000",
            "telephone_number": "317-891-4501",
            "fax_number": "312-395-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BEGUM",
        "authorized_official_first_name": "ASIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-891-4501"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lisle, IL
• Providers in Lisle, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.