| NPI | 1972755320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA C GORDON Director 312-996-1104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0646690) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |