Star Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STAR LABS LLC

Practice address

240 E Lake St Ste 302
Addison, IL 60101-2874

Phone

(630) 631-4552

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Tauseef Ahmed

Title

President

Phone

(630) 631-4552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675468800000",
    "number": "1326794181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E LAKE ST STE 302",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012874",
            "telephone_number": "630-631-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E LAKE ST STE 302",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012874",
            "telephone_number": "630-631-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2023-02-04",
        "certification_date": "2022-11-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "TAUSEEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-631-4552"
    },
    "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 Addison, IL
• Providers in Addison, 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 4, 2023; 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.