Organization
CLINICAL LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABEEBUDDIN MOHAMMED (OWNER)
(214) 705-2301
Entity
Organization
Contact information
Practice address
19255 EVERETT LN STE C, MOKENA, IL 60448-8870
(214) 705-2301
Mailing address
19255 EVERETT LN STE C, MOKENA, IL 60448-8870
(214) 705-2301
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
07/29/2024
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