Organization
COUNTY DIAGNOSTIC INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAREED KHAN (PRESIDENT)
(773) 255-0605
Entity
Organization
Contact information
Practice address
5129 W DEVON AVE, CHICAGO, IL 60646-4217
(773) 255-0605
Mailing address
5129 W DEVON AVE, CHICAGO, IL 60646-4217
(773) 255-0605
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
06/23/2022
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