Vip Labs LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VIP LABS LLC.

Practice address

722 W Exchange St Ste 2
Crete, IL 60417-2065

Phone

(708) 852-3171

Fax

(708) 852-3211

NPI assigned

Sep 1, 2020

Last updated

Jun 6, 2022By 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

Shamia MitchemNPI 1073129433

Title

Administrator

Phone

(708) 852-3171

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, and the practitioner matching its NPPES authorized official.

• Shamia M Mitchem

  • Clinical Medical Laboratory
  • Olympia Fields, IL
  • NPI 1073129433
  NPD Authorized official

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1952915506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W EXCHANGE ST STE 2",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172065",
            "telephone_number": "708-852-3171",
            "fax_number": "708-852-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W EXCHANGE ST STE 2",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172065",
            "telephone_number": "708-852-3171",
            "fax_number": "708-852-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP LABS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "MITCHEM",
        "authorized_official_first_name": "SHAMIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-852-3171"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uniquely Resilient PLLC
• Douglas Van Til, LCSW
• Veld Vision Center
• Paul A Veld, O.D.
• Village of Crete
• Vivid Cranial Prosthetics
• Nerissa Vogt, LSW
• Sophilia Walker
• Megan Wall
• Wallace Family Chiropractic, LLC

• Clinical Medical Laboratory in Crete, IL
• Providers in Crete, 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 Jun 6, 2022; 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.