Organization
MIDWEST LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAFER ALI KHAN (PRESIDENT)
(224) 636-3637
Entity
Organization
Contact information
Practice address
6124 N MILWAUKEE AVE STE 1, CHICAGO, IL 60646-3820
(224) 636-3637
Mailing address
1905 E EUCLID AVE, MOUNT PROSPECT, IL 60056-1831
(224) 636-3637
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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