Organization
NORTHWEST LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHER SYED (MANAGER)
(773) 407-4774
Entity
Organization
Contact information
Practice address
6506 N ALBANY AVE, CHICAGO, IL 60645-4104
(773) 407-4774
Mailing address
6506 N ALBANY AVE, CHICAGO, IL 60645-4104
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/22/2022
Last updated
02/06/2022
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