Provider Demographics
NPI:1952057135
Name:MASTWAAR CORPORATION INC
Entity Type:Organization
Organization Name:MASTWAAR CORPORATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUBASHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-903-2327
Mailing Address - Street 1:1065 HIAWATHA DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-3131
Mailing Address - Country:US
Mailing Address - Phone:847-903-2327
Mailing Address - Fax:
Practice Address - Street 1:1639 IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-3376
Practice Address - Country:US
Practice Address - Phone:847-903-2327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory