| NPI | 1528247459 |
|---|---|
| Other Name | OLLAE MEDICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | ONESIMO FLORES Medical Lab 708-692-5499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-10-28 |
| Last Update Date | 2011-03-14 |