Healthcare Provider Details

I. General information

NPI: 1306599451
Provider Name (Legal Business Name): CIPHER GLOBAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2022
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3S517 WINFIELD RD STE D
WARRENVILLE IL
60555-3160
US

IV. Provider business mailing address

2336 PAGOSA SPRINGS DR
AURORA IL
60503-6463
US

V. Phone/Fax

Practice location:
  • Phone: 312-771-3491
  • Fax:
Mailing address:
  • Phone: 312-771-3491
  • 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: AHSAN MIRZA
Title or Position: MANAGER
Credential:
Phone: 312-771-3491