Provider Demographics
NPI:1386316685
Name:ALPHA LAB SERVICES INC
Entity type:Organization
Organization Name:ALPHA LAB SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:QUADRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-416-4206
Mailing Address - Street 1:2060 E ALGONQUIN RD STE 700
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4192
Mailing Address - Country:US
Mailing Address - Phone:773-416-4206
Mailing Address - Fax:
Practice Address - Street 1:2060 E ALGONQUIN RD STE 700
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4192
Practice Address - Country:US
Practice Address - Phone:773-416-4206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory