Provider Demographics
NPI:1053067538
Name:NORTHWEST TESTING LLC
Entity Type:Organization
Organization Name:NORTHWEST TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:BILGRAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-229-9876
Mailing Address - Street 1:200 TIMBER TRAILS BLVD
Mailing Address - Street 2:
Mailing Address - City:GILBERTS
Mailing Address - State:IL
Mailing Address - Zip Code:60136-4055
Mailing Address - Country:US
Mailing Address - Phone:630-229-9876
Mailing Address - Fax:
Practice Address - Street 1:3815 W ELM ST
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4373
Practice Address - Country:US
Practice Address - Phone:630-229-9876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory