| NPI | 1164797106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNY GOLDFARB Vice President 847-343-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D2035395) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |