Active NPI
United DL II
- Clinical Medical Laboratory
- Evanston, IL
National Provider Identifier
1780344911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | unityphr.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.