Belay Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BELAY DIAGNOSTICS LLC

Practice address

1375 W Fulton St Ste 530
Chicago, IL 60607-1156

Phone

(312) 550-5600

NPI assigned

May 15, 2024

Last updated

May 15, 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

Brian Coe

Title

Ceo

Phone

(312) 550-5600

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

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1922857671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 W FULTON ST STE 530",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 W FULTON ST STE 530",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071156",
            "telephone_number": "312-550-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELAY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-550-5600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Belandres III, CRNA
• James Raymond Belanger, LCSW, CADC
• Kiran Belani, M.D.
• Michele Belanski, MSW, LCSW
• Kailyn Nicole Belawich, LCSW
• Dereje Ketema Belayneh
• Meredith Gail Belber, MD
• Safiya-Hana Belbina, M.D.
• Madonna Marie Belcaster, PTA
• Jenifer Belcastro, DPT

• 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 May 15, 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.