| NPI | 1790536480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L BARNER CEO 708-800-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-06-03 |