Southwest Lab Corp

NPI #1134872500 in Wheeling, Illinois

Provider Information

NPI Number
1134872500
Entity Type
Organization
Organization Name
Southwest Lab Corp
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jan 27, 2022
Last Updated
Jul 18, 2022

Practice Location

Address
504 GLENN AVE STE A
ZIP Code
60090-6016
Phone
(773) 991-8205

Authorized Official

Name
AZEEM AYOOB
Title
CEO
Phone
(773) 991-8205

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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