Organization · NPI-2

Acculab Medical Testing INC

Clinical Medical Laboratory · Chicago, IL

NPI number1699222000
StatusActive
Last updated in NPPESSep 1, 2016

Details

NPI
1699222000
Entity type
Organization (NPI-2)
Legal business name
Acculab Medical Testing INC
Organization subpart
No
Enumeration date
Sep 1, 2016
Last updated
Sep 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory097.000815ILYes

Practice location

2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859

Phone 312-939-3535

Mailing address

2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859

Phone 312-939-3535

Authorized official

Warren Cooper
President
3129393535

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