| NPI | 1689871774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN COULAM Director 312-274-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 036092625) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2008-04-14 |