| NPI | 1346530201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEMAYEHU M GEBRESELLASSIE President 847-951-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14d2018991) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2012-06-12 |