NPI 1013411453

Heritage Laboratory INC

Organisation Clinical Medical Laboratory Crete, IL

Practice location

Address: 1249 E Burville Rd STE 1, Crete, IL 60417-3601
Phone: (224) 735-6279
Mailing address: 25716 S Stoney Island Ave, Crete, IL 60417-8020

Authorised official

Name: Jesus Ramirez
Title: Director
Phone: (224) 735-6279

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1013411453
Entity type: Organization
NPI issued: 21 Mar 2018
Record last updated: 14 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.