Provider Demographics
NPI:1386392819
Name:CERTIFIED HEALTHCARE SUPPORT LLC
Entity type:Organization
Organization Name:CERTIFIED HEALTHCARE SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSAVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-791-0968
Mailing Address - Street 1:864 SPRING VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4300
Mailing Address - Country:US
Mailing Address - Phone:847-791-0968
Mailing Address - Fax:
Practice Address - Street 1:638 E GOLF RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4061
Practice Address - Country:US
Practice Address - Phone:847-791-0968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory