| NPI | 1720730385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSAR MOHAMMED President 773-852-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-28 |