| NPI | 1083366058 |
|---|---|
| Doing Business As | MOON LAB |
| Entity Type | Organization |
| Authorized Contact | JISIT VIJAY ZAVERI President 847-347-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-04-07 |