Organization
CHICAGO CARE LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHAJA KHAN (PRESIDENT)
(872) 208-7046
Entity
Organization
Contact information
Practice address
2646 W PRATT BLVD, CHICAGO, IL 60645-4506
(872) 208-7046
Mailing address
2646 W PRATT BLVD, CHICAGO, IL 60645-4506
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
04/11/2022
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