| NPI | 1205682481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA J HENDERSON Owner 312-761-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |