US Spa Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

US SPA CORP

Practice address

920 N Ridge Ave Ste A4
Lombard, IL 60148-1226

Phone

(312) 498-1738

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Zohair Sultan

Title

President

Phone

(312) 498-1738

Specialties & licenses 1

Addresses

Other names 1

• MEDSET Labs Doing business as

Locations

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1356006407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 S HIGHLAND AVE APT 525",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485435",
            "telephone_number": "312-498-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N RIDGE AVE STE A4",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481226",
            "telephone_number": "312-498-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US SPA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "ZOHAIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-498-1738"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSET Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mariana Valdes
• Maria R Valdez, LCPC

• Clinical Medical Laboratory in Lombard, IL
• Providers in Lombard, 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 Nov 3, 2021; 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.