| NPI | 1518773365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWAIS REHAN MOHAMMED Owner/President 312-270-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2025-04-17 |