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General NPI Number Information
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NPI Number | 1326823022
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Entity Type | Organization
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Legal Business Name | NATIONAL DIAGNOSTICS LAB INC
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3530 W PETERSON AVE STE 100
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City | CHICAGO
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State | IL
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Zip | 60659-3294
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Country | US
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Telephone | 773-681-0088
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Fax | 773-539-5200
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Provider Business Mailing Address
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Address Line | 3530 W PETERSON AVE STE 100
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City | CHICAGO
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State | IL
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Zip | 60659-3294
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Country | US
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Telephone | 312-758-0716
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Fax | 773-539-5200
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | SALMAN A KHAN
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Credential |
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Telephone | 312-758-0716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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