| NPI | 1831858711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY WILLIAMS CEO 708-935-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291900000X Military Clinical Medical Laboratory |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |