Organization
CITI DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD ANWAR (CEO)
(773) 997-4590
Entity
Organization
Contact information
Practice address
6201 N CALIFORNIA AVE STE 111, CHICAGO, IL 60659-2627
(773) 262-7600
Mailing address
6201 N CALIFORNIA AVE STE 111, CHICAGO, IL 60659-2627
(773) 262-7600
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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