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General NPI Number Information
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NPI Number | 1386548493
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Entity Type | Organization
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Legal Business Name | NIDA LAB CORP
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1 TRANSAM PLAZA DR STE 16
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4364
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Country | US
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Telephone | 630-440-7786
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Fax | 312-807-3550
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Provider Business Mailing Address
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Address Line | 1 TRANSAM PLAZA DR STE 16
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4364
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Country | US
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Telephone | 630-440-7786
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Fax | 312-807-3550
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MOQUEET A SYED
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Credential |
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Telephone | 630-440-7786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State | NULL
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