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CHICAGO, IL
NPI1265020051
Entity TypeOrganization
Authorized ContactIMRAN SALIM
Managing Director
773-615-0279
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2021-01-06
Last Update Date2023-10-20
Business Address
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3425 W PETERSON AVE STE 104
CHICAGO, IL 60659-3443
Phone number: 773-615-0279
Mailing Address
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3425 W PETERSON AVE STE 104
CHICAGO, IL 60659-3443
Phone number: 773-615-0279