Provider Demographics
NPI:1477294312
Name:MEDBERI CORP
Entity Type:Organization
Organization Name:MEDBERI CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-400-2773
Mailing Address - Street 1:5600 N RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ROSEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60018-6705
Mailing Address - Country:US
Mailing Address - Phone:630-400-2773
Mailing Address - Fax:
Practice Address - Street 1:5600 N RIVER RD
Practice Address - Street 2:
Practice Address - City:ROSEMONT
Practice Address - State:IL
Practice Address - Zip Code:60018-6705
Practice Address - Country:US
Practice Address - Phone:630-400-2773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory