Southshore Medi Lab Inc

LBN: Southshore Medi Lab Inc
Southshore Medi Lab Inc is an health care organization with primary practice located at 4651 W 79Th St Ste 204 , Chicago IL 60652-1775. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Southshore Medi Lab Inc can be contacted via phone (773) 585-0480, or through Muhammad, Ashfaq via phone (773) 585-0480.

Contact Information

Primary practice address
4651 W 79Th St Ste 204 Chicago IL 60652-1775
Phone: (773) 585-0480
Fax: (773) 585-0482
Website:
Map and Directions
Authorized official contact:
Name: Muhammad, Ashfaq
Phone: (773) 585-0480

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 14D2104608 Illinois

Profile Details

NPI number 1073978631
LBN Legal business name Southshore Medi Lab Inc
DBA Doing business as
Authorized official Muhammad, Ashfaq
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2015
Last updated Dec 28th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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