UN KNOWN MUFAZZAL HAMEED
NPI 1114674462
Pathology - Clinical Laboratory Director, Non-physician in Chicago, IL

Active since March 07, 2022
5540 W NORTH AVE, CHICAGO, IL 60639(872) 985-8336 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Un Known Mufazzal Hameed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UN KNOWN MUFAZZAL HAMEED (NPI 1114674462) is an individual clinical laboratory director, non-physician in Chicago, Illinois and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1114674462
Entity TypeIndividualMale
Primary Taxonomy247ZC0005X
Provider Legal NameUN KNOWN MUFAZZAL HAMEED
Location Address5540 W NORTH AVEChicago, IL 60639-4235
Mailing Address5540 W North AveChicago, IL 60639-4235 · (872) 985-8336
Sole ProprietorNo
Enumeration DateMarch 7, 2022
NPPES CertifiedFebruary 18, 2022
NPI 1114674462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

5540 W NORTH AVE, Chicago, IL 60639

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114674462, enumerated as an "individual" on March 07, 2022.

The provider is located at 5540 W NORTH AVE CHICAGO, IL 60639 and the phone number is (872) 985-8336.

Pathology with taxonomy code 247ZC0005X and a focus in Clinical Laboratory Director, Non-physician.