Healthcare Provider Details

I. General information

NPI: 1649407768
Provider Name (Legal Business Name): QUALITY LAB ONE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6063 N NORTHWEST HWY
CHICAGO IL
60631-2502
US

IV. Provider business mailing address

6063 N NORTHWEST HWY
CHICAGO IL
60631-2502
US

V. Phone/Fax

Practice location:
  • Phone: 872-985-4302
  • Fax: 708-888-2807
Mailing address:
  • Phone: 872-985-4302
  • Fax: 708-888-2807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number21120
License Number StateIL

VIII. Authorized Official

Name: MRS. RABIA NAVEED
Title or Position: PRESIDENT
Credential: MD
Phone: 630-776-5027