Provider Demographics
NPI:1316558182
Name:SOUTHWEST MEDICAL SOLUTIONS INC
Entity Type:Organization
Organization Name:SOUTHWEST MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-424-9405
Mailing Address - Street 1:5533 W 109TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-5058
Mailing Address - Country:US
Mailing Address - Phone:708-424-9405
Mailing Address - Fax:
Practice Address - Street 1:5533 W 109TH ST STE 101
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5058
Practice Address - Country:US
Practice Address - Phone:708-424-9405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty