| NPI | 1851019715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNKNOWN MOHAMMED KALEEM Authorized Official 773-807-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-06-20 |