Provider Demographics
NPI:1548926512
Name:MAK LABORATORY INC
Entity type:Organization
Organization Name:MAK LABORATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-541-0496
Mailing Address - Street 1:5875 N LINCOLN AVE STE 223
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4668
Mailing Address - Country:US
Mailing Address - Phone:773-541-0496
Mailing Address - Fax:
Practice Address - Street 1:5875 N LINCOLN AVE STE 223
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4668
Practice Address - Country:US
Practice Address - Phone:773-828-2945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory