| NPI | 1639628225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANA S SAIFAN Assistant 773-649-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 14D2118158) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: IL 14D2118158) |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2018-08-23 |