| NPI | 1609737238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON WILLIAMS Lab Director 312-877-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-21 |