Provider Demographics
NPI:1205588654
Name:RIZHAAN LABS
Entity type:Organization
Organization Name:RIZHAAN LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIRAJUD
Authorized Official - Middle Name:D
Authorized Official - Last Name:KHAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-527-5315
Mailing Address - Street 1:803 SUFFIELD SQ
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3433
Mailing Address - Country:US
Mailing Address - Phone:262-527-5315
Mailing Address - Fax:
Practice Address - Street 1:1232 ALLANSON RD
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-3808
Practice Address - Country:US
Practice Address - Phone:262-527-5315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory