Organization
BETA LAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED FAIZU SEYED MOHAMMED (MANAGER)
(630) 501-1924
Entity
Organization
Contact information
Practice address
6030 N KENMORE AVE APT 406, CHICAGO, IL 60660-2988
(630) 501-1924
Mailing address
6030 N KENMORE AVE APT 406, CHICAGO, IL 60660-2988
(630) 501-1924
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
01/06/2022
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