Organization
TEST LIBERTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKRAM SHAIK (PRESIDENT)
(574) 204-3022
Entity
Organization
Contact information
Practice address
2247 W DEVON AVE, CHICAGO, IL 60659-2284
(833) 542-8378
Mailing address
8241 LOWELL AVE, SKOKIE, IL 60076-2623
(833) 542-8378
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
09/01/2022
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