Healthcare Provider Details

I. General information

NPI: 1609535335
Provider Name (Legal Business Name): MZAI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 W 31ST ST
CHICAGO IL
60616-3129
US

IV. Provider business mailing address

6432 N HERMITAGE AVE APT 1E
CHICAGO IL
60626-5771
US

V. Phone/Fax

Practice location:
  • Phone: 312-973-0719
  • Fax:
Mailing address:
  • Phone: 312-973-0719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MEHDI KHAN
Title or Position: CEO
Credential:
Phone: 312-973-0719