Healthcare Provider Details

I. General information

NPI: 1740107945
Provider Name (Legal Business Name): ACCURA CLINICAL LABORATORY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROOSEVELT RD STE 410430
GLEN ELLYN IL
60137-5839
US

IV. Provider business mailing address

800 ROOSEVELT RD STE 410430
GLEN ELLYN IL
60137-5839
US

V. Phone/Fax

Practice location:
  • Phone: 323-579-3678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANWAR MOHAMMED
Title or Position: CEO
Credential:
Phone: 323-579-3678