Organization
PROLAB DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFIA SYED (PRESIDENT)
(312) 307-4064
Entity
Organization
Contact information
Practice address
9408 WAUKEGAN RD, MORTON GROVE, IL 60053-1352
(312) 307-4064
Mailing address
4031 CRESTWOOD DR, NORTHBROOK, IL 60062-7542
(312) 307-4064
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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