Organization
AZA LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED SIDDIQUI (PRESIDENT)
(773) 520-1981
Entity
Organization
Contact information
Practice address
4801 W PETERSON AVE #204, CHICAGO, IL 60646-5713
(773) 520-1981
Mailing address
4801 W PETERSON AVE #204, CHICAGO, IL 60646-5713
(773) 520-1981
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
03/25/2022
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