| NPI | 1225235443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA COY Lab Director 224-725-5953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 0023341) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2025-01-17 |