NPI | 1134382716 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA KACHEVAS Practice Administrator 309-277-1120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0430674) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2008-07-03 |