Samp Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SAMP LABS LLC

Practice address

18000 Jefferson Park Rd Ste 101
Middleburg Heights, OH 44130-3440

Phone

(847) 962-1125

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Chetan Soni

Title

Coo

Phone

(847) 962-1125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1518613595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 JEFFERSON PARK RD STE 101",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303440",
            "telephone_number": "847-962-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 JEFFERSON PARK RD STE 101",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303440",
            "telephone_number": "847-962-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMP LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "847-962-1125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S H Butt MD Inc.
• Jyoti Sagar, DMD
• Jessica Ann Sakie, PT
• Michelle Sales, RN
• Kaleigh Samf, APRN, PMHNP-BC
• Sandra M Berglund, DO, Inc
• Kelsey Sayre, MOT, OTR/L
• Maxx Scarlett
• Autumn Schaef, NP-C
• Susan Schaub

• Clinical Medical Laboratory in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.