Organization
GRACE LAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED ASIF KHUNDMIR (PRESIDENT)
(773) 763-7606
Entity
Organization
Contact information
Practice address
6191 N CANFIELD AVE, CHICAGO, IL 60631-3845
(773) 763-7606
Mailing address
6191 N CANFIELD AVE, CHICAGO, IL 60631-3845
(773) 763-7606
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
01/06/2022
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