Organization · NPI-2
Adnan Lab INC
Clinical Medical Laboratory · Chicago, IL
NPI number1730823147
StatusActive
Last updated in NPPESApr 21, 2022
Details
- NPI
- 1730823147
- Entity type
- Organization (NPI-2)
- Legal business name
- Adnan Lab INC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2022
- Certification date
- Apr 21, 2022
- Last updated
- Apr 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 310500000X | Intermediate Care Facility, Mental Illness | – | – |
Practice location
4719 W Lawrence AveChicago, IL 60630-1722
Phone 773-853-2738
Mailing address
4719 W Lawrence AveChicago, IL 60630-1722
Phone 773-853-2738
Authorized official
Mohammed Hamed Qureshi
President
7738532738
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