| NPI | 1194854885 |
|---|---|
| Doing Business As | COAGULATION CONSULTANTS LAB |
| Entity Type | Organization |
| Authorized Contact | LARRY BRACE Director 847-954-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0413340) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-03-14 |