Organization
AQSA LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD Y KHLIFEH (LAB DIRECTOR)
(708) 576-8881
Entity
Organization
Contact information
Practice address
10322 S HARLEM AVE, PALOS HILLS, IL 60465-2036
(708) 576-8881
Mailing address
10322 S HARLEM AVE, PALOS HILLS, IL 60465-2036
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D2134131
IL
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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