Star Med Lab, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STAR MED LAB, INC

Practice address

15406 Lexington Ave
Suite 9
Harvey, IL 60426-3611

Phone

(708) 825-1016

Fax

(708) 825-1413

NPI assigned

Jul 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenyatta CovingtonNPI 1184065955

Title

President

Phone

(708) 825-1016

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenyatta Covington

  • Phlebotomy Technician
  • Harvey, IL
  • NPI 1184065955
  NPD (past) Authorized official

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1992146773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15406 LEXINGTON AVE",
            "address_2": "SUITE 9",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263611",
            "telephone_number": "708-825-1016",
            "fax_number": "708-825-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 LEXINGTON AVE",
            "address_2": "SUITE 9",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263611",
            "telephone_number": "708-825-1016",
            "fax_number": "708-825-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MED LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "KENYATTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-825-1016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shore Behavioral Consultants
• Southwest Laboratory Physicians, S.C.
• Karen Sperti
• Stairway to Greatness Mentorship-Entrepreneurship Program
• Kathryn Stanley, LCSW
• Janet Vokoun Starck, M.D.
• Nicole Stephen, PHARMD
• Anita A. Stewart, M.D.
• Mark Stossel, M.D.
• Ponnambalam S Sundram, MD

• Clinical Medical Laboratory in Harvey, IL
• Providers in Harvey, 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 Jul 9, 2013; 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.