Organization
SUDHA1 LLC
Active
Other names
Moon Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JISIT VIJAY ZAVERI (PRESIDENT)
(847) 347-3907
Entity
Organization
Contact information
Practice address
95 W THACKER ST, SCHAUMBURG, IL 60194-3378
(847) 347-3907
Mailing address
95 W THACKER ST, SCHAUMBURG, IL 60194-3378
(847) 347-3907
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
04/07/2022
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