NPI 1104294313

Aurora Life Sciences, LLC

Organisation Clinical Medical Laboratory Rockford, IL

Practice location

Address: 6019 Fincham Dr, Rockford, IL 61108-2550
Phone: (815) 713-1829

Authorised official

Name: Dan Nagle
Title: President
Phone: (815) 713-1829

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1104294313
Entity type: Organization
NPI issued: 3 Sep 2015
Record last updated: 3 Sep 2015

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.