| NPI | 1194711234 |
|---|---|
| Doing Business As | COMPREHENSIVE HEMOSTASIS AND THROMBOSIS LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MARY L DAVIS Executive Director 309-688-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 14D0982678 CLIA) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-08-08 |