| NPI | 1598985350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MIHALOV Laboratory Director 773-792-5046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D0906595) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-07-22 |