Provider Demographics
NPI:1821727371
Name:A&A MEDLABS LLC
Entity Type:Organization
Organization Name:A&A MEDLABS LLC
Other - Org Name:A&A TESTING BOLINGBROOK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARTHIK
Authorized Official - Middle Name:VANAMOORTHY
Authorized Official - Last Name:ACHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-991-8787
Mailing Address - Street 1:498 W BOUGHTON RD
Mailing Address - Street 2:STE 102
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1925
Mailing Address - Country:US
Mailing Address - Phone:630-589-0166
Mailing Address - Fax:
Practice Address - Street 1:498 W BOUGHTON RD
Practice Address - Street 2:STE 102
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-1925
Practice Address - Country:US
Practice Address - Phone:630-589-0166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory