| NPI | 1558621813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN CHRISTOPHER SNIDER Owner/ President 309-678-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D1095444) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |