Provider Demographics
NPI:1750263067
Name:ELITE STAT LAB SOLUTIONS LLC
Entity type:Organization
Organization Name:ELITE STAT LAB SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDNANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-815-0123
Mailing Address - Street 1:2100 MANCHESTER RD STE 400F
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4593
Mailing Address - Country:US
Mailing Address - Phone:773-815-0123
Mailing Address - Fax:708-400-8712
Practice Address - Street 1:2100 MANCHESTER RD STE 400F2100
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4579
Practice Address - Country:US
Practice Address - Phone:773-815-0123
Practice Address - Fax:708-400-8712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty