Lakeshore Clinical LLC

NPI #1124773130 in Rockford, Illinois

Provider Information

NPI Number
1124773130
Entity Type
Organization
Organization Name
Lakeshore Clinical LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 17, 2022
Last Updated
Feb 17, 2022

Practice Location

Address
5411 E STATE ST STE 4
ZIP Code
61108-2908
Phone
(224) 310-8328

Authorized Official

Name
SETU SHAH
Title
CEO
Phone
(224) 310-8328

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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