| NPI | 1720732662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HOLMES Owner 312-874-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-03-18 |