| NPI | 1215502349 |
|---|---|
| Former Legal Business Name | SOUTH CHICAGO LAB L LIMITED |
| Former Legal Business Name | SOUTH CHICAGO LAB LIMITED |
| Entity Type | Organization |
| Authorized Contact | STEVEN ABU-SHAQRA President 815-440-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |