| NPI | 1285812529 |
|---|---|
| Doing Business As | PREMIER VASCULAR LABORATORY |
| Entity Type | Organization |
| Authorized Contact | EUGENE M TANQUILUT Member 708-305-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |