Organization
ASTERLATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IHTESHAM ALI SHAH MO ALI SHAH MOHAMMED (PRESIDENT)
(847) 589-1234
Entity
Organization
Contact information
Practice address
9933 FRANKLIN AVE STE 2A, FRANKLIN PARK, IL 60131-1928
(847) 589-1234
(800) 604-1874
Mailing address
9933 FRANKLIN AVE STE 2A, FRANKLIN PARK, IL 60131-1928
(847) 589-1234
(800) 604-1874
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2284961
LICENSE
IL
Enumeration date
05/24/2023
Last updated
11/09/2024
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