Organization
EXPRESS MEDICAL LABS LLC
Active
Other names
COVID-19 Express labs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ABU-SHAQRA PHD (LAB DIRECTOR)
(815) 440-9285
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE STE 115, CHICAGO RIDGE, IL 60415-2667
(708) 336-9002
(708) 229-2101
Mailing address
9830 RIDGELAND AVE STE 115, CHICAGO RIDGE, IL 60415-2667
(708) 336-9002
(708) 229-2101
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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