Provider Demographics
NPI:1922756774
Name:MEDICAL LABS INC
Entity Type:Organization
Organization Name:MEDICAL LABS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TABASSUM
Authorized Official - Middle Name:
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-749-4408
Mailing Address - Street 1:70 E BUSSE AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3215
Mailing Address - Country:US
Mailing Address - Phone:847-749-4408
Mailing Address - Fax:
Practice Address - Street 1:70 E BUSSE AVE
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3215
Practice Address - Country:US
Practice Address - Phone:847-749-4408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory