| NPI | 1285768531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIPIN N BHAYANI Laboratory Director 815-939-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0429255) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |