Leilani Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LEILANI LABORATORY

Practice address

4320 W Montrose Ave
Ste C
Chicago, IL 60641-2016

Phone

(773) 283-0944

Fax

(773) 283-0882

NPI assigned

Jun 2, 2005

Last updated

Aug 22, 2020By 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

Flora M Sampang

Title

President

Phone

(773) 283-0944

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912909961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 W MONTROSE AVE",
            "address_2": "STE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412016",
            "telephone_number": "773-283-0944",
            "fax_number": "773-283-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 W MONTROSE AVE",
            "address_2": "STE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412016",
            "telephone_number": "773-283-0944",
            "fax_number": "773-283-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILANI LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPANG",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-283-0944"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1632963",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Claire Leighton, MSW
• Lauren M Leighton, PA-C
• Mary Leighton
• Emily Sue Leigvold
• Leila Yabiku LCPC PLLC
• Jeremy Leimback, DC
• Ericka Lupe Leinard
• Anne Leinart Greene, APN
• Kirk R Leindecker, CRNA
• Elizabeth Seton Leinenweber, PA-S

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, 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 Aug 22, 2020; 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.