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Organization

CMS LABS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMAL ALWATTAR M.S. (PRESIDENT)
(847) 480-4680
Entity
Organization

Contact information

Practice address
1818 SKOKIE BLVD, NORTHBROOK, IL 60062-4106
(847) 656-0194
(847) 714-1615
Mailing address
1818 SKOKIE BLVD, NORTHBROOK, IL 60062-4106
(847) 656-0194
(847) 714-1615

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
10D1044289
FL
291U00000X
Clinical Medical Laboratory
Primary
14D0950557
IL
291U00000X
Clinical Medical Laboratory
14D1106803
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031322000
FL
01
1636252
BLUE CROSS BLUE SHEILD
IL
Enumeration date
07/18/2005
Last updated
12/21/2011
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