| Prime Lab Services | |
|
640 E Saint Charles Rd Ste 101 Carol Stream IL 60188-2600 | |
| (630) 632-2423 | |
| Not Available |
| Full Name | Prime Lab Services |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 640 E Saint Charles Rd Ste 101, Carol Stream, Illinois |
| Authorized Official Name and Position | Esa Sarwar (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6306322423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Lab Services 640 E Saint Charles Rd Ste 101 Carol Stream IL 60188-2600 Ph: () - | Prime Lab Services 640 E Saint Charles Rd Ste 101 Carol Stream IL 60188-2600 Ph: (630) 632-2423 |
| NPI Number | 1588302269 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 1658754437 |
|---|---|
| Medicare Enrollment ID | O20220811000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588302269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Primary |
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