| NPI | 1588786123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK A MAGGIORE President 773-693-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0928217) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |