Provider Demographics
NPI:1396413381
Name:MEDCARE LABS INC
Entity Type:Organization
Organization Name:MEDCARE LABS INC
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:QUADRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-683-4787
Mailing Address - Street 1:400 LAKE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-3572
Mailing Address - Country:US
Mailing Address - Phone:773-683-4787
Mailing Address - Fax:
Practice Address - Street 1:400 LAKE ST STE 206
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3572
Practice Address - Country:US
Practice Address - Phone:773-683-4787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory