| NPI | 1306153416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR BELOV Manager 847-834-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0966824) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |