Modern Laboratory Incorporated
Modern Laboratory Incorporated is a Clinical Medical Laboratory in Glendale Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
1793 Bloomingdale Rd Ste 1Glendale Heights, IL 60139-3800
Phone: (630) 933-8101
Fax: (630) 933-8105
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 291U00000X (IL) |
|---|
Record details
| NPI number | 1366612731 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Prasanta Ghose — President · (630) 933-8101 |
| NPI enumerated | March 3, 2008 |
| Last updated in NPPES | September 18, 2014 |
| Mailing address | 1793 Bloomingdale Rd Ste 1, Glendale Heights, IL 60139-3800 |
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