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Organization

UNITED EG LLC

Active
Parent organization
UNITED EG LLC
Other names
Life Long Labs
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNITED EG LLC
Authorized official
ABDUL ANSAR AHMED MOHAMMED (PRESIDENT)
(630) 445-1109
Entity
Organization

Contact information

Practice address
616 E ROOSEVELT RD, LOMBARD, IL 60148-4741
(630) 445-1109
Mailing address
616 E ROOSEVELT RD, LOMBARD, IL 60148-4741
(630) 445-1109

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
10/05/2021
Last updated
08/16/2024
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