| NPI | 1790437366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD NAZIR Administrator 708-581-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |