MEDICARE: SWIFT TESTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1033862784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWIFT TESTING LLC

Provider Business Mailing Address
First Line	:	1905 E EUCLID AVE
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-1831
Country	:	US
Telephone Number	:	224-636-3637
Fax Number	:

Provider Business Practice Location Address
First Line	:	6124 N MILWAUKEE AVE STE 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-3820
Country	:	US
Telephone Number	:	224-636-3637
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ZAFER ALI KHAN
Credential	:
Telephone Number	:	224-636-3637

Provider Enumeration Date	:	02/02/2022
Last Update Date	:	02/02/2022

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Directions to “SWIFT TESTING LLC ” Practice Location

Language	Start Address	Practice Location

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