Organization
A 1 LAB INC
Active
Organization
A 1 LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA R BALI (PRESIDENT)
(980) 327-6474
Entity
Organization
Contact information
Practice address
2142 W ROSEMONT AVE APT 4B, CHICAGO, IL 60659-2161
(980) 327-6474
Mailing address
2142 W ROSEMONT AVE APT 4B, CHICAGO, IL 60659-2161
(980) 327-6474
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/06/2022
Last updated
01/14/2022
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