Provider Demographics
NPI:1023438397
Name:SIMPLE LABORATORIES LLC
Entity type:Organization
Organization Name:SIMPLE LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SNR RCM BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TIRADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-775-6697
Mailing Address - Street 1:7444 W WILSON AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:HARWOOD HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60706-4500
Mailing Address - Country:US
Mailing Address - Phone:773-775-6697
Mailing Address - Fax:708-831-4257
Practice Address - Street 1:7444 W WILSON AVE STE 111
Practice Address - Street 2:
Practice Address - City:HARWOOD HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60706-4500
Practice Address - Country:US
Practice Address - Phone:773-775-6697
Practice Address - Fax:773-763-7331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory