State Scientific Lab LLC
NPI #1447914874 in Stone Park, Illinois
Provider Information
- NPI Number
- 1447914874
- Entity Type
- Organization
- Organization Name
- State Scientific Lab LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 22, 2021
- Last Updated
- Nov 5, 2021
Practice Location
- Address
- 1550 N MANNHEIM RD STE C
- City
- Stone Park
- State
- Illinois
- ZIP Code
- 60165-1300
- Phone
- (708) 223-0457
Authorized Official
- Name
- FAHAD GAFFOOR
- Title
- PRESIDENT
- Phone
- (773) 818-5550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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