| NPI | 1376243055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE DECENA Owner/President 312-282-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 246R00000X Technician, Pathology |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |