| NPI | 1538254651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN JOHN NISIVOCCIA President 708-478-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 038-004843) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |