NPI | 1336800630 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTI HUGHES CEO 708-833-9014 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2022-01-07 |
Last Update Date | 2022-01-18 |