Provider Demographics
NPI:1629458252
Name:TRILAB, LLC
Entity Type:Organization
Organization Name:TRILAB, LLC
Other - Org Name:TRILAB HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:NASEERUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-924-6626
Mailing Address - Street 1:747 N CHURCH RD BLDG F
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1420
Mailing Address - Country:US
Mailing Address - Phone:630-358-7555
Mailing Address - Fax:
Practice Address - Street 1:747 N CHURCH RD STE F4
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-1441
Practice Address - Country:US
Practice Address - Phone:630-358-7555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory