Organization
PLATINUM LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNKNOWN MOHAMMED KALEEM (AUTHORIZED OFFICIAL)
(773) 807-4508
Entity
Organization
Contact information
Practice address
4752 W PETERSON AVE, CHICAGO, IL 60646-5706
(773) 807-4508
(847) 696-8488
Mailing address
4752 W PETERSON AVE, CHICAGO, IL 60646-5706
(773) 807-4508
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
06/20/2024
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