| NPI | 1952152605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZEER AHMED MOHAMMED President & Secretary 773-312-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |