R Laboratory Incorporated
NPI #1215263702 in Westchester, Illinois
Provider Information
- NPI Number
- 1215263702
- Entity Type
- Organization
- Organization Name
- R Laboratory Incorporated
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 19, 2009
- Last Updated
- Oct 19, 2009
Practice Location
- Address
- 1127 S MANNHEIM RD STE 215
- City
- Westchester
- State
- Illinois
- ZIP Code
- 60154-2562
- Phone
- (708) 493-4111
Authorized Official
- Name
- MR. EDGAR RONQUILLO REDRICO
- Title
- OWNER
- Phone
- (708) 493-4111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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