Modern Laboratory Incorporated
NPI #1366612731 in Glendale Heights, Illinois
Provider Information
- NPI Number
- 1366612731
- Entity Type
- Organization
- Organization Name
- Modern Laboratory Incorporated
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 3, 2008
- Last Updated
- Sep 18, 2014
Practice Location
- Address
- 1793 BLOOMINGDALE RD STE 1
- City
- Glendale Heights
- State
- Illinois
- ZIP Code
- 60139-3800
- Phone
- (630) 933-8101
Authorized Official
- Name
- MR. PRASANTA K GHOSE
- Title
- PRESIDENT
- Phone
- (630) 933-8101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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