Histology Corp
Technician, Pathology, Histology in Lake Bluff, IL. Organization (NPI-2).
NPI number1043469745
StatusActive
Last updated in NPPESJan 26, 2016
Details
- NPI
- 1043469745
- Entity type
- Organization (NPI-2)
- Legal business name
- Histology Corp
- Organization subpart
- No
- Enumeration date
- Sep 17, 2008
- Last updated
- Jan 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RH0600X | Technician, Pathology, Histology | – | – | Yes |
Practice location
21 N Skokie HwySuite 202
Lake Bluff, IL 60044-1777
Phone 847-525-3147
Mailing address
21 N Skokie HwySuite 202
Lake Bluff, IL 60044-1777
Phone 847-525-3147
Authorized official
Daniel J Kelly
President
8475253147
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