Covid Care Of Illinois LLC
Clinical Medical Laboratory in Plainfield, IL. Organization (NPI-2).
NPI number1265192553
StatusActive
Last updated in NPPESMar 2, 2022
Details
- NPI
- 1265192553
- Entity type
- Organization (NPI-2)
- Legal business name
- Covid Care Of Illinois LLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2021
- Certification date
- Mar 2, 2022
- Last updated
- Mar 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | – |
Practice location
12829 Tipperary LnPlainfield, IL 60585-2846
Phone 630-999-1661
Mailing address
12829 Tipperary LnPlainfield, IL 60585-2846
Authorized official
Nemath Ullah
Manager
6309991661
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