Organization
NEXTGEN MEDICAL LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKRAM KHAJA (CEO)
(331) 245-4326
Entity
Organization
Contact information
Practice address
161 W IRVING PARK RD, ROSELLE, IL 60172-1119
(224) 460-5320
Mailing address
161 W IRVING PARK RD, ROSELLE, IL 60172-1119
(224) 460-5320
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
12/12/2022
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