Active NPI
SNT Biotech Lab Inc
- Clinical Medical Laboratory
- Plainfield, IL
National Provider Identifier
1750003968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SNT BIOTECH LAB INC
- Practice address
- 24119 W Riverwalk CT Unit 135
Plainfield, IL 60544-8108 - Phone
- (312) 715-7101
- NPI assigned
- Sep 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shital Daftari
- Title
- Owner
- Phone
- (312) 715-7101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
24119 W Riverwalk CT Unit 135
Plainfield, IL 60544-8108
Mailing address
3836 Mistflower LN
Naperville, IL 60564-5922
Phone (312) 715-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230220002210 | IL | Part B Supplier - Independent Clinical Laboratory | 1355713371 | Practice locations: Plainfield, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2249090 | SNT Biotech Lab Inc | Accreditation | Jan 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
24119 W Riverwalk Ct
Plainfield, IL 60544
Phone (312) 715-7101
24119 W Riverwalk Ct
Unit 135
Plainfield, IL 60544
Phone (312) 715-7101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663113600000",
"number": "1750003968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3836 MISTFLOWER LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645922",
"telephone_number": "312-715-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24119 W RIVERWALK CT UNIT 135",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448108",
"telephone_number": "312-715-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNT BIOTECH LAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A",
"authorized_official_last_name": "DAFTARI",
"authorized_official_first_name": "SHITAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-715-7101"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.