Applied Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

APPLIED LAB LLC

Practice address

25553 W Wolfs Crossing Rd Unit GH
Plainfield, IL 60585-6807

Phone

(630) 841-2043

Fax

(630) 893-1400

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Parveen Bakhtiari

Title

Manager

Phone

(630) 841-2043

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1316691447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25553 W WOLFS CROSSING RD",
            "address_2": "UNIT GH",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605856807",
            "telephone_number": "630-841-2043",
            "fax_number": "630-893-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25553 W WOLFS CROSSING RD UNIT GH",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605856807",
            "telephone_number": "630-841-2043",
            "fax_number": "630-893-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BAKHTIARI",
        "authorized_official_first_name": "PARVEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-841-2043"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.