Organization
MIDWEST LAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED AZAM HASSAN (MD)
(224) 806-8373
Entity
Organization
Contact information
Practice address
3033 OGDEN AVE STE 202, LISLE, IL 60532-1976
(224) 806-8373
Mailing address
3033 OGDEN AVE STE 202, LISLE, IL 60532-1976
(224) 806-8373
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
01/27/2022
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