| NPI | 1760904361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID COOK General Counsel 847-520-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QG0250X |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |