Provider Demographics
NPI:1053085373
Name:BEING HUMAN MEDICAL INC
Entity Type:Organization
Organization Name:BEING HUMAN MEDICAL INC
Other - Org Name:AM LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANOOP
Authorized Official - Middle Name:
Authorized Official - Last Name:MAMTANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-375-2359
Mailing Address - Street 1:5252 PRATT AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3434
Mailing Address - Country:US
Mailing Address - Phone:312-375-2359
Mailing Address - Fax:
Practice Address - Street 1:6027 N CICERO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4301
Practice Address - Country:US
Practice Address - Phone:312-858-1486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory