Leilani Laboratory

LBN: Leilani Laboratory
Leilani Laboratory is an health care organization with primary practice located at 4320 W Montrose Ave Ste C, Chicago IL 60641-2016. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Leilani Laboratory can be contacted via phone (773) 283-0944, or through Sampang, Flora M via phone (773) 283-0944.

Contact Information

Primary practice address
4320 W Montrose Ave Ste C Chicago IL 60641-2016
Phone: (773) 283-0944
Fax: (773) 283-0882
Website:
Map and Directions
Authorized official contact:
Name: Sampang, Flora M
Phone: (773) 283-0944

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Illinois

Profile Details

NPI number 1912909961
LBN Legal business name Leilani Laboratory
DBA Doing business as
Authorized official Sampang, Flora M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912909961 NPPES
Illinois Other 1632963 BLUE CROSS BLUE SHIELD

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