Lab Express Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB EXPRESS CORPORATION

Practice address

5000 W 95TH St Ste a
Oak Lawn, IL 60453-2402

Phone

(708) 907-5694

Fax

(708) 634-4220

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin T Villafane Jr.NPI 1962752899

Title

General Manager

Phone

(708) 907-5694

Specialties & licenses 1

Addresses

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Villafane Jr., LAB TECHNICIAN

  • Pathology Technician
  • Hickory Hills, IL
  • NPI 1962752899
  NPD (past) Authorized official

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1891062287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 95TH ST STE A",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532402",
            "telephone_number": "708-907-5694",
            "fax_number": "708-634-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 95TH ST STE A",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532402",
            "telephone_number": "708-907-5694",
            "fax_number": "708-634-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB EXPRESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "708-907-5694",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heewon Kwak, M.D.
• Timothy Jeffrey Kwan, DO
• Ryan Anthony Kwilosz
• L.M. Weinfield DDS, LTD. (The Dental Building)
• Kathryn E La Violette, DPM
• Amber Lacey
• Robert E Lacey, ATC
• Sally Ann Ladehoff, P.T.A.
• Jennifer A Laheta
• Nicole Elizabeth Lahey

• Clinical Medical Laboratory in Oak Lawn, IL
• Providers in Oak Lawn, 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 Oct 11, 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.