Organization Active NPI

R & S Laboratory and Diagnostic Testing Center LLC

  • Clinical Medical Laboratory
  • Matteson, IL
National Provider Identifier
1568390854
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
R & S LABORATORY AND DIAGNOSTIC TESTING CENTER LLC
Practice address
600 Holiday Plaza Dr Ste 182
Matteson, IL 60443-2236
Phone
(708) 872-0133
NPI assigned
May 8, 2026
Last updated
May 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Authorized official

Name
Ms. Davita L Sauls
Title
Administer
Phone
(708) 872-0133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

600 Holiday Plaza Dr Ste 182
Matteson, IL 60443-2236

Mailing address

600 Holiday Plaza Dr Ste 182
Matteson, IL 60443-2236
Phone (708) 872-0133

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2344779R & S Laboratory & Diagnostic Testing Center600 Holiday Plaza Dr - Ste 182B, Matteson, IL 60443Certificate of waiverMay 28, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778284800000",
    "number": "1568390854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOLIDAY PLAZA DR STE 182",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432236",
            "telephone_number": "708-872-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOLIDAY PLAZA DR STE 182",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432236",
            "telephone_number": "708-872-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & S LABORATORY AND DIAGNOSTIC TESTING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "DAVITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTER",
        "authorized_official_telephone_number": "708-872-0133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.