| NPI | 1679450415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNKNOWN MUHAMMAD SHAHID ALI Manager 312-446-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-11-28 |