Provider Demographics
NPI:1124779988
Name:STERYLL LABS INC.
Entity type:Organization
Organization Name:STERYLL LABS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ERUM
Authorized Official - Middle Name:SYEDA
Authorized Official - Last Name:HYDER
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:416-801-9565
Mailing Address - Street 1:1684 FOLTZ DR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-6956
Mailing Address - Country:US
Mailing Address - Phone:416-801-9565
Mailing Address - Fax:
Practice Address - Street 1:2040 W DEVON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-2128
Practice Address - Country:US
Practice Address - Phone:647-895-9545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory