| NPI | 1184081374 |
|---|---|
| Other Name | GRAY FORENSIC TOXICOLOGY TESTING LABS |
| Entity Type | Organization |
| Authorized Contact | KENNETH GRAY President/ Clinical Director 630-914-5065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 246RM2200X Technician, Pathology Medical Laboratory |
| 246RP1900X Technician, Pathology Phlebotomy | |
| 247ZC0005X Pathology Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |