Organization
SCOTTLAB, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANA S SAIFAN STAFF (ASSISTANT)
(773) 649-3099
Entity
Organization
Contact information
Practice address
71 W 156TH ST STE 206A, HARVEY, IL 60426
(312) 794-7772
(773) 649-3138
Mailing address
71 W 156TH ST STE 206A, HARVEY, IL 60426-4262
(773) 649-3099
(773) 649-3138
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
14D2118158
IL
291U00000X
Clinical Medical Laboratory
14D2118158
IL
Other
Enumeration date
09/24/2016
Last updated
08/23/2018
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