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General NPI Number Information
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NPI Number | 1487310645
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Entity Type | Organization
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Legal Business Name | YMQ LABS INC
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 5875 N LINCOLN AVE STE LL49
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City | CHICAGO
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State | IL
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Zip | 60659-4669
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Country | US
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Telephone | 733-027-7467
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Fax |
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Provider Business Mailing Address
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Address Line | 5875 N LINCOLN AVE STE LL49
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City | CHICAGO
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State | IL
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Zip | 60659-4669
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Country | US
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Telephone | 773-302-7746
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | YAHIYA MAHABOOB QUADRI
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Credential |
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Telephone | 773-302-7746
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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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