Medstar Laboratory, INC
Clinical Medical Laboratory in Hillside, IL. Organization (NPI-2).
NPI number1144202003
StatusActive
Last updated in NPPESSep 17, 2015
Details
- NPI
- 1144202003
- Entity type
- Organization (NPI-2)
- Legal business name
- Medstar Laboratory, INC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2005
- Last updated
- Sep 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 14D0945905 | IL | Yes |
Practice location
4531 Harrison StHillside, IL 60162-1614
Phone 708-488-1000 · Fax 708-488-1831
Mailing address
4531 Harrison StHillside, IL 60162-1614
Phone 708-488-1000 · Fax 708-488-1831
Authorized official
Raj N Patel
Vice President
7084881000
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