Organization
CITY LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMS SIDDIQUI (PRESIDENT)
(847) 324-9132
Entity
Organization
Contact information
Practice address
3415 HOWARD ST STE 102, SKOKIE, IL 60076-4011
(847) 324-9132
(847) 324-9134
Mailing address
3415 HOWARD ST STE 102, SKOKIE, IL 60076-4011
(847) 324-9132
(847) 324-9134
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D2083891
IL
Other
Enumeration date
10/21/2014
Last updated
12/11/2014
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