Azaan Medical Supplies Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AZAAN MEDICAL SUPPLIES INC

Doing business as

AZAAN LABS

Practice address

2417 W Pratt Blvd Apt 1L
Chicago, IL 60645-4635

Phone

(201) 737-7151

NPI assigned

Sep 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammed Ansari

Title

Managing Director

Phone

(201) 737-7151

Specialties & licenses 1

Addresses

Other names 1

• AZAAN LABS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1326710377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 W PRATT BLVD APT 1L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454635",
            "telephone_number": "201-737-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 W PRATT BLVD APT 1L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454635",
            "telephone_number": "201-737-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAAN MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "201-737-7151"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZAAN LABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Laila Azan, MD

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.