Acgt, INC.
Clinic/Center, Genetics in Wheeling, IL. Organization (NPI-2).
NPI number1760904361
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1760904361
- Entity type
- Organization (NPI-2)
- Legal business name
- Acgt, INC.
- Organization subpart
- No
- Enumeration date
- Jul 14, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QG0250X | Clinic/Center, Genetics | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
35 W Waltz DrWheeling, IL 60090-6052
Phone 847-520-9162 · Fax 847-520-9163
Mailing address
35 W Waltz DrWheeling, IL 60090-6052
Phone 847-520-9162 · Fax 847-520-9163
Authorized official
David Cook
General Counsel
8475209162
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