Provider Demographics
NPI:1659024768
Name:ATLAS LABS LLC
Entity Type:Organization
Organization Name:ATLAS LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAARIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-440-7702
Mailing Address - Street 1:2200 S BUSSE RD STE A
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-5514
Mailing Address - Country:US
Mailing Address - Phone:630-440-7702
Mailing Address - Fax:
Practice Address - Street 1:2200 S BUSSE RD STE A
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-5514
Practice Address - Country:US
Practice Address - Phone:630-440-7702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory