Provider Demographics
NPI:1629730221
Name:HSM CENTERS LLC
Entity Type:Organization
Organization Name:HSM CENTERS LLC
Other - Org Name:COVID TESTING STATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-669-0737
Mailing Address - Street 1:1451 CENTERPOINT CIR APT 308
Mailing Address - Street 2:
Mailing Address - City:SHILOH
Mailing Address - State:IL
Mailing Address - Zip Code:62269-2182
Mailing Address - Country:US
Mailing Address - Phone:630-669-0737
Mailing Address - Fax:
Practice Address - Street 1:1451 CENTERPOINT CIR APT 308
Practice Address - Street 2:
Practice Address - City:SHILOH
Practice Address - State:IL
Practice Address - Zip Code:62269-2182
Practice Address - Country:US
Practice Address - Phone:630-669-0737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory