NPI 1376685016
Diagnostic Medical Laboratory, INC.
Practice location
- Address
- 4554 N. Broadway Street Suite 317, Chicago, IL 60640-5642
- Phone
- (773) 255-4959
- Fax
- (773) 506-0269
Authorised official
- Name
- Joseph S Tengbeh
- Title
- Laboratory Director and Owner
- Phone
- (773) 255-4959
Registered specialties
Laboratory Management Specialist/Technologist
Primary
Registry record
- NPI
- 1376685016
- Entity type
- Organization
- NPI issued
- 12 Feb 2007
- Record last updated
- 22 Feb 2012
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.