Organization Active NPI

United DL II

  • Clinical Medical Laboratory
  • Evanston, IL
National Provider Identifier
1780344911
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNITED DL II
Practice address
2521 Gross Point Rd Ste 5
Evanston, IL 60201-4993
Phone
(312) 890-4340
NPI assigned
Dec 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Stephan M Erdelyi
Title
President
Phone
(847) 346-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2521 Gross Point Rd Ste 5
Evanston, IL 60201-4993

Mailing address

2521 Gross Point Rd Ste 1B
Evanston, IL 60201-4993
Phone (312) 890-4340

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL unityphr.com Direct

National Provider Directory

National Provider Directory

Locations

2521 Gross Point Rd
Ste 5
Evanston, IL 60201
Phone (312) 890-4340

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1780344911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GROSS POINT RD STE 1B",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014993",
            "telephone_number": "312-890-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GROSS POINT RD STE 5",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014993",
            "telephone_number": "312-890-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DL II",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "ERDELYI",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-346-5070"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "unityphr.com",
            "affiliation": "N",
            "endpointDescription": "Unity Healthcare Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2521 Gross Point Rd Ste 5",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602014993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.