# NIDA LAB CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NIDA PATH CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386548493
- **Authorized official:** MOQUEET A SYED (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (630) 440-7786

## Contact information

- **Practice address:** 1 TRANSAM PLAZA DR STE 16, OAKBROOK TERRACE, IL 60181-4364
- **Practice address phone:** (630) 440-7786
- **Practice address fax:** (312) 807-3550
- **Mailing address:** 1 TRANSAM PLAZA DR STE 16, OAKBROOK TERRACE, IL 60181-4364
- **Mailing address phone:** (630) 440-7786
- **Mailing address fax:** (312) 807-3550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0006X | Clinical Pathology Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/05/2026