| NPI | 1477205292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA SAMREEN Manager 312-532-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2022-04-07 |