Star Lab, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STAR LAB, INC

Practice address

9213 Parklane Ave
Franklin Park, IL 60131-2837

Phone

(847) 329-7500

NPI assigned

Apr 13, 2011

Last updated

Apr 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard FeliceldaNPI 1083095293

Title

Administrator

Phone

(847) 802-2288

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Felicelda

  • Vascular Sonography Radiologic Technologist
  • Chicago, IL
  • NPI 1083095293
  Authorized official Same address or phone
• Qing Li, PH.D.

  • Ph.D. Medical Genetics
  • Franklin Park, IL
  • NPI 1811850456
  NPD (past)
• Vermily Patelona

  • Physical Therapist
  • Elgin, IL
  • NPI 1710257209
  NPD (past)
• Maria Nelfa Sorronda Regencia, MT

  • Medical Laboratory Technician
  • Franklin Park, IL
  • NPI 1437034881
  NPD (past)

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1720378524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GARDEN DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601240230",
            "telephone_number": "847-802-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9213 PARKLANE AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312837",
            "telephone_number": "847-329-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "FELICELDA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-802-2288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marder Smith, MSW
• Shanna Smith
• Cynthia Sorrell, LSW
• Elizabeth Ruth Spearing, LCPC CAADC
• Anelia Stamatova, PMHNP-BC
• Starlab Diagnostics Inc
• Martha Stear
• Sterling Molecular Corporation (Sterling Genomic, Molecular & Clinical Diagnostics)
• Vera Stewart, QMHP
• Greg Enrique Suarez

• Clinical Medical Laboratory in Franklin Park, IL
• Providers in Franklin Park, 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 Apr 22, 2016; 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.