Southwest Direct Diagnostic Laboratory

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHWEST DIRECT DIAGNOSTIC LABORATORY

Practice address

301 W Roosevelt Rd Ste J
Wheaton, IL 60187-5009

Phone

(346) 771-1189

Fax

(346) 771-1189

NPI assigned

Jul 10, 2026

Organization subpart

No

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

Authorized official

Name

Romaan Ali Baig Mirza

Title

DME

Phone

(346) 771-1189

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1740109123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W ROOSEVELT RD STE J",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875009",
            "telephone_number": "346-771-1189",
            "fax_number": "346-771-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W ROOSEVELT RD STE J",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875009",
            "telephone_number": "346-771-1189",
            "fax_number": "346-771-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIRECT DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "ROMAAN ALI BAIG",
        "authorized_official_title_or_position": "DME",
        "authorized_official_telephone_number": "346-771-1189"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siomara Sotelo, RN
• Migdalia M Sotir, M.D.
• Catherine G Soto
• Jacqueline Angelica Soto
• Rosa Josefina Soto, LPC
• Therese R Southworth, PT
• Danielle M Spaid
• Ricky Spain Jr.
• Lily Sparks, PHARMD
• Giovanna N Spata

• Clinic/Center in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.