# NORTHWEST LABS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124770904
- **Authorized official:** ATHER SYED (MANAGER)
- **Authorized official phone:** (773) 407-4774

## Contact information

- **Practice address:** 6506 N ALBANY AVE, CHICAGO, IL 60645-4104
- **Practice address phone:** (773) 407-4774
- **Mailing address:** 6506 N ALBANY AVE, CHICAGO, IL 60645-4104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 01/22/2022
- **Last updated:** 02/06/2022