| NPI | 1477919082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLDIE GUPTA CFO 630-536-7738 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NV 2173REG-12) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2021-09-13 |