| NPI | 1174266787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FNU MIR MOUZAM ALI SALMAN Authorized Official 630-863-8246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-07-28 |