| NPI | 1992925580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC E. WHITAKER Director 312-814-5278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0647002) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |