Organization
996 LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARAM KENNETH HONORE PHLEBOTOMIST (LAB DIRECTOR)
(312) 800-3395
Entity
Organization
Contact information
Practice address
111 N WABASH AVE STE 1116-LM, CHICAGO, IL 60602-1903
(312) 809-8380
(866) 776-7795
Mailing address
111 N WABASH AVE STE 1116-LM, CHICAGO, IL 60602-1903
(312) 800-3395
(866) 776-7795
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
—
—
170300000X
Genetic Counselor (M.S.)
—
—
183500000X
Pharmacist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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