Provider Demographics
NPI:1245826213
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:CEO
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:2020-12-14
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF10073Medicaid