Organization
MFAFEVLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIYSAL VAHORA (OWNER)
(773) 344-5018
Entity
Organization
Contact information
Practice address
201 W CLARK ST, STEVENS POINT, WI 54481-3412
(773) 344-5018
Mailing address
6414 N MOZART ST, CHICAGO, IL 60645-5228
(773) 344-5018
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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