| NPI | 1285230987 |
|---|---|
| Other Name | YEAR |
| Entity Type | Organization |
| Authorized Contact | LAKESA JEAN LEE Phlebotomist 708-516-6243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-10-28 |