| NPI | 1720327976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN HARSHBARGER Manager 309-635-9963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 49D1100708) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |