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General NPI Number Information
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NPI Number | 1972241966
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Entity Type | Organization
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Legal Business Name | SKY LAB SERVICES INC
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 7101 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60626-2407
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Country | US
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Telephone | 331-315-7691
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Fax | 312-277-5150
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Provider Business Mailing Address
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Address Line | 16 W WILSON AVE
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City | LOMBARD
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State | IL
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Zip | 60148-3831
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Country | US
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Telephone | 773-671-4648
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Fax | 312-277-5150
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAFEEZ AHMED
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Credential |
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Telephone | 773-671-4648
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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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