| NPI | 1972251585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ASIF Director 773-765-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QG0250X Clinic/Center, Genetics |
| 261QU0200X Clinic/Center, Urgent Care | |
| 305S00000X Point of Service | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2023-12-05 |