| NPI | 1891528816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA S WINSTON Owner 312-401-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |