Solaris DX 2 LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOLARIS DX 2 LLC

Doing business as

Solaris Diagnostics

Practice address

1630 Georgetown Rd Ste 1
Tilton, IL 61833-8110

Phone

(217) 655-4201

Fax

(859) 305-6105

NPI assigned

Nov 22, 2024

Last updated

Nov 22, 2024By 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. Zachary Aebersold

Title

Ceo

Phone

(217) 655-4201

Specialties & licenses 1

Addresses

Other names 1

• Solaris Diagnostics Doing business as

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

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1821813973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 GEORGETOWN RD STE 1",
            "city": "TILTON",
            "state": "IL",
            "postal_code": "618338110",
            "telephone_number": "217-655-4201",
            "fax_number": "859-305-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 GEORGETOWN RD STE 1",
            "city": "TILTON",
            "state": "IL",
            "postal_code": "618338110",
            "telephone_number": "217-655-4201",
            "fax_number": "859-305-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARIS DX 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "AEBERSOLD",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-655-4201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solaris Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Maronick, AM, MPP, LSW
• Barbara Myers, LCSW
• Megan Paxson, APRN
• Serenity & Grace Therapy LLC
• Stephen J Skimehorn, FNP
• Tilton Family Medical Services, PLLC
• Tiffany Lu Verhoeven
• Village of Tilton
• Margaret Whitten
• Jenna Young

• Clinical Medical Laboratory in Tilton, IL
• Providers in Tilton, 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 Nov 22, 2024; 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.