Organization
DELTA DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAIK AZMATHULLA (PRESIDENT)
(773) 732-0517
Entity
Organization
Contact information
Practice address
111 DOLORES DR APT 10, BENSENVILLE, IL 60106-3439
(773) 732-0517
Mailing address
111 DOLORES DR APT 10, BENSENVILLE, IL 60106-3439
(773) 732-0517
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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