NPI 1063927572

Elite Pathology Lab INC

Organisation Clinical Pathology Physician Chicago, IL

Practice location

Address: 3744 W North Ave, Chicago, IL 60647-4727
Phone: (630) 889-9889
Mailing address: PO Box 3363, Oak Brook, IL 60522-3363

Authorised official

Name: David Chua
Title: President
Phone: (630) 889-9889

Registered specialties

Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZC0006X

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Registry record

NPI: 1063927572
Entity type: Organization
NPI issued: 6 Dec 2017
Record last updated: 6 Dec 2017

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.