Provider Demographics
NPI:1316608011
Name:APEX CLINICAL LABORATORIES LLC
Entity type:Organization
Organization Name:APEX CLINICAL LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL IRFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:945-284-8111
Mailing Address - Street 1:235 REMINGTON BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-3687
Mailing Address - Country:US
Mailing Address - Phone:945-284-8241
Mailing Address - Fax:
Practice Address - Street 1:235 REMINGTON BLVD STE J
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-3687
Practice Address - Country:US
Practice Address - Phone:945-284-8241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory