Garland Legacy LLC
Clinical Medical Laboratory in Oak Park, IL. Organization (NPI-2).
NPI number1417618380
StatusActive
Last updated in NPPESJan 11, 2022
Details
- NPI
- 1417618380
- Entity type
- Organization (NPI-2)
- Legal business name
- Garland Legacy LLC
- Organization subpart
- No
- Enumeration date
- Jan 4, 2022
- Certification date
- Jan 11, 2022
- Last updated
- Jan 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
1033 South BlvdOak Park, IL 60302-2823
Phone 708-965-0667
Mailing address
1033 South BlvdOak Park, IL 60302-2823
Authorized official
Maya Garland
Director
7089257672
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All 5 Clinical Medical Laboratory providers in Oak Park · All 3,051 providers in Oak Park
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