Cb Laboratory LLC
Clinical Medical Laboratory in Morton, IL. Organization (NPI-2).
NPI number1336838457
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1336838457
- Entity type
- Organization (NPI-2)
- Legal business name
- Cb Laboratory LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2023
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Cb Laboratory LLC (Doing Business As)
Practice location
370 E Courtland StMorton, IL 61550-9054
Phone 309-291-0899 · Fax 309-291-0927
Mailing address
370 E Courtland StMorton, IL 61550-9054
Phone 309-291-0899 · Fax 309-291-0927
Authorized official
Jaymie Danielle Ryan
Clinical Laboratory Scientist
3092910899
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