Organization
UNILAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITESH SHAH (OWNER)
(919) 341-1255
Entity
Organization
Contact information
Practice address
418 N AUSTIN BLVD, #2A, OAK PARK, IL 60302-2752
(708) 848-1556
(708) 848-1737
Mailing address
418 N AUSTIN BLVD, #2A, OAK PARK, IL 60302-2752
(708) 848-1556
(708) 848-1737
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA14D0646585
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100394470A
—
IN
Enumeration date
09/07/2006
Last updated
03/21/2023
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