| NPI | 1205259231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W HANSEN President 630-750-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14d2099042) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2015-09-24 |