Provider Demographics
NPI: | 1205413044 |
---|---|
Name: | CURE MEDICAL LAB INC |
Entity type: | Organization |
Organization Name: | CURE MEDICAL LAB INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SALMAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | REHMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 773-322-9581 |
Mailing Address - Street 1: | 1060 E LAKE ST STE 201A |
Mailing Address - Street 2: | |
Mailing Address - City: | HANOVER PARK |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60133-5400 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 773-322-9581 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1060 E LAKE ST STE 201A |
Practice Address - Street 2: | |
Practice Address - City: | HANOVER PARK |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60133-5400 |
Practice Address - Country: | US |
Practice Address - Phone: | 773-322-9581 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-03-26 |
Last Update Date: | 2023-02-15 |
Deactivation Date: | 2021-10-04 |
Deactivation Code: | |
Reactivation Date: | 2021-11-28 |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 291U00000X | Laboratories | Clinical Medical Laboratory | |
No | 251F00000X | Agencies | Home Infusion | |
No | 293D00000X | Laboratories | Physiological Laboratory |