| NPI | 1598763914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO ILAGAN President 773-773-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0646644) |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2010-04-02 |