Organization · NPI-2

Abc Labs

Clinical Medical Laboratory · Chicago, IL

NPI number1821526328
StatusActive
Last updated in NPPESMay 27, 2017

Details

NPI
1821526328
Entity type
Organization (NPI-2)
Legal business name
Abc Labs
Organization subpart
No
Enumeration date
May 27, 2017
Last updated
May 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory14D2118590ILYes

Practice location

6449 S Pulaski Rd Ste 108
Chicago, IL 60629-5148

Phone 773-306-1259

Mailing address

6449 S Pulaski Rd Ste 108
Chicago, IL 60629-5148

Authorized official

Shahida Rehman
Owner
7082896328

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