SOUTHSHORE MEDI LAB INC

CHICAGO, IL
NPI1073978631
Entity TypeOrganization
Authorized ContactASHFAQ MUHAMMAD
President
773-585-0480
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
(Licence: IL  14D2104608)
Enumeration Date2015-12-28
Last Update Date2015-12-28
Business Address
SOUTHSHORE MEDI LAB INC
4651 W 79TH ST STE 204
CHICAGO, IL 60652-1775
Phone number: 773-585-0480
Mailing Address
SOUTHSHORE MEDI LAB INC
4651 W 79TH ST STE 204
CHICAGO, IL 60652-1775
Phone number: 773-585-0480