Organization
O'HARE CLINICAL LAB SERVICES INC
Active
Organization
O'HARE CLINICAL LAB SERVICES INC
Active
Other names
OCL Labs, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED SIRAJUDEEN (PRESIDENT)
(773) 552-1355
Entity
Organization
Contact information
Practice address
4909 W DIVISION ST STE 303, CHICAGO, IL 60651-3161
(800) 839-2095
(800) 761-3075
Mailing address
1420 RENAISSANCE DR STE 206, PARK RIDGE, IL 60068-1342
(800) 839-2095
(800) 761-3075
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D1051792
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932450
B/C B/S IL
IL
01
—
P00397462
R/R MEDICARE
IL
Enumeration date
06/18/2006
Last updated
02/11/2022
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