| NPI | 1497942783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILYN U TAN Owner 773-989-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 036087664) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |