Organization
MEDTECH LAB LLC
Active
Organization
MEDTECH LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISBAHUDDIN KHAJA (PRESIDENT)
(224) 260-7309
Entity
Organization
Contact information
Practice address
3706 DEMPSTER ST, SKOKIE, IL 60076-2232
(224) 260-7309
Mailing address
3706 DEMPSTER ST, SKOKIE, IL 60076-2232
(224) 260-7309
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
02/25/2023
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