Organization Active NPI

Starlie'S Medical Lab

  • Phlebotomy Technician
  • South Holland, IL
National Provider Identifier
1972186088
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
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

Updated by the provider on May 5, 2021

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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.