Organization
BON LABORATORY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSAR MOHAMMED (PRESIDENT)
(773) 852-7866
Entity
Organization
Contact information
Practice address
14248 DRAKE WATCH LN, CHARLOTTE, NC 28262-1641
(773) 852-7866
Mailing address
14248 DRAKE WATCH LN, CHARLOTTE, NC 28262-1641
(773) 852-7866
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/24/2022
Last updated
01/28/2022
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