| NPI | 1902416936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAISTA HABIB President 630-788-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-04-07 |