| NPI | 1053906636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL RAHEEM Owner 224-465-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2023-12-07 |