MEDICARE: HIGH CARE LABS INC

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	:	1952052110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH CARE LABS INC

Provider Business Mailing Address
First Line	:	6304 N CICERO AVE UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4422
Country	:	US
Telephone Number	:	773-628-7402
Fax Number	:

Provider Business Practice Location Address
First Line	:	6304 N CICERO AVE UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4422
Country	:	US
Telephone Number	:	773-628-7402
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMMED ASHFAQ KHAN
Credential	:
Telephone Number	:	773-516-1216

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	12/12/2022

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Directions to “HIGH CARE LABS INC ” Practice Location

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