Healthcare Provider Details

I. General information

NPI: 1326950775
Provider Name (Legal Business Name): INVINCILAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6551 N CLARK ST
CHICAGO IL
60626-4001
US

IV. Provider business mailing address

6551 N CLARK ST
CHICAGO IL
60626-4001
US

V. Phone/Fax

Practice location:
  • Phone: 872-235-7819
  • Fax:
Mailing address:
  • Phone: 872-235-7819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MUZZAKIR MOHAMMED
Title or Position: MANAGING MEMBER
Credential:
Phone: 872-235-7819