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NPI Code Detail

MEDICARE: CITILABS INCORPORATED

MEDICARE: CITILABS INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1770927469
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITILABS INCORPORATED
Provider Business Mailing Address
First Line : 6201 N CALIFORNIA AVE STE 111
Second Line :
City : CHICAGO
State : IL
Zip : 60659-2627
Country : US
Telephone Number : 773-262-7600
Fax Number : 773-262-7601
Provider Business Practice Location Address
First Line : 6201 N CALIFORNIA AVE STE 111
Second Line :
City : CHICAGO
State : IL
Zip : 60659-2627
Country : US
Telephone Number : 773-262-7600
Fax Number : 773-262-7601
Authorized Official
Title or Position : PRESIDENT
Name : MUHAMMAD LODHI
Credential :
Telephone Number : 773-262-7600
Provider Enumeration Date : 04/24/2013
Last Update Date : 10/10/2024

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Directions to “CITILABS INCORPORATED ” Practice Location

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