| NPI | 1861285785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE BERRY Administrator 708-436-1753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |