NPI 1265737787

Physicians Laboratory, LLC

Organisation Supports Brokerage Agency Chicago, IL

Practice location

Address: 1410 W Fulton St Suite 204, Chicago, IL 60607-1110
Phone: (312) 262-4600
Fax: (312) 262-4531

Authorised official

Name: William Navas
Title: President
Phone: (312) 262-4600

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Illinois →

Registry record

NPI: 1265737787
Entity type: Organization
NPI issued: 13 Jan 2011
Record last updated: 13 Jan 2011

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.