| NPI | 1235898057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED JALEEL President 773-302-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |