| NPI | 1104586205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY OSHIPITAN President 773-870-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |