Organization
MEDLIFE DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFROZ LATEEF (PRESIDENT)
(773) 539-4100
Entity
Organization
Contact information
Practice address
8892 LOUISIANA ST STE B, MERRILLVILLE, IN 46410-7153
(219) 769-1900
(219) 769-1300
Mailing address
6374 N LINCOLN AVE STE 310, CHICAGO, IL 60659-1283
(773) 539-4100
(773) 539-9400
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
11/02/2018
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