Organization
GREAT LAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRAJ SYED (CEO)
(770) 906-6351
Entity
Organization
Contact information
Practice address
6438 N RICHMOND ST, CHICAGO, IL 60645-4363
(770) 906-6351
Mailing address
6438 N RICHMOND ST, CHICAGO, IL 60645-4363
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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