NPI | 1093751596 |
---|---|
Doing Business As | MAXILLOFACIAL PATHOLOGY |
Entity Type | Organization |
Authorized Contact | REZA MOSTOFI Director 773-267-1110 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0862191) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2014-08-19 |