Kodo Care, INC.
Clinical Medical Laboratory in Joliet, IL. Organization (NPI-2).
NPI number1255048823
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1255048823
- Entity type
- Organization (NPI-2)
- Legal business name
- Kodo Care, INC.
- Organization subpart
- No
- Enumeration date
- Nov 2, 2022
- Certification date
- Oct 28, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
2401 W Jefferson St Ste 100Joliet, IL 60435-7830
Phone 815-727-4722 · Fax 815-727-4731
Mailing address
2401 W Jefferson St Ste 100Joliet, IL 60435-7830
Phone 815-727-4722 · Fax 815-727-4731
Authorized official
Steven Quigley
Billing
8157274722
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