Provider Demographics
NPI:1700545639
Name:AIM ONE INCORPORATED
Entity Type:Organization
Organization Name:AIM ONE INCORPORATED
Other - Org Name:AIM LAB SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JUNAID
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-977-3573
Mailing Address - Street 1:6336 N CICERO AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-4448
Mailing Address - Country:US
Mailing Address - Phone:773-733-1487
Mailing Address - Fax:
Practice Address - Street 1:6336 N CICERO AVE STE 102
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4448
Practice Address - Country:US
Practice Address - Phone:773-733-1487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory