Adeona Clinical Laboratory LLC
Clinical Medical Laboratory in Bolingbrook, IL. Organization (NPI-2).
NPI number1366493355
StatusActive
Last updated in NPPESDec 15, 2010
Details
- NPI
- 1366493355
- Entity type
- Organization (NPI-2)
- Legal business name
- Adeona Clinical Laboratory LLC
- Organization subpart
- Yes
- Enumeration date
- May 13, 2006
- Last updated
- Dec 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 14D1051026 | IL | Yes |
Practice location
391 Quadrangle DrSuite N9
Bolingbrook, IL 60440-3442
Phone 630-378-2100 · Fax 630-378-2990
Mailing address
391 Quadrangle DrSuite N9
Bolingbrook, IL 60440-3442
Phone 630-378-2100 · Fax 630-378-2990
Authorized official
Narayan Torke
Director
6303782100
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