Provider Demographics
NPI:1255083325
Name:OSHAF INC.
Entity type:Organization
Organization Name:OSHAF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAFSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ATCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-520-3810
Mailing Address - Street 1:201 E ARMY TRAIL RD STE 206D
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2103
Mailing Address - Country:US
Mailing Address - Phone:856-520-3810
Mailing Address - Fax:773-338-1714
Practice Address - Street 1:201 E ARMY TRAIL RD STE 206D
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2103
Practice Address - Country:US
Practice Address - Phone:856-520-3810
Practice Address - Fax:773-338-1714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory