| NPI | 1548926512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED ANWAR Authorized Official 312-696-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2026-05-08 |