Active NPI
Starlie'S Medical Lab
- Phlebotomy Technician
- South Holland, IL
National Provider Identifier
1972186088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- STARLIE'S MEDICAL LAB
- Practice address
- 525 E 161St PL
South Holland, IL 60473-1618 - Phone
- (708) 574-8045
- NPI assigned
- May 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Edlena Starling, NPT
- Title
- National Phlebotomy Technician
- Phone
- (708) 574-8045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
525 E 161St PL
South Holland, IL 60473-1618
Mailing address
525 E 161St PL
South Holland, IL 60473-1618
Phone (708) 574-8045
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620172800000",
"number": "1972186088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 161ST PL",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604731618",
"telephone_number": "708-574-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 161ST PL",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604731618",
"telephone_number": "708-574-8045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARLIE'S MEDICAL LAB",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A",
"authorized_official_last_name": "STARLING",
"authorized_official_first_name": "EDLENA",
"authorized_official_title_or_position": "NATIONAL PHLEBOTOMY TECHNICIAN",
"authorized_official_telephone_number": "708-574-8045",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NPT"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.