Ollae Medical Laboratory

NPI #1528247459 in Berwyn, Illinois

Provider Information

NPI Number
1528247459
Entity Type
Organization
Organization Name
Ollae Medical Laboratory
Subpart
Yes (part of a larger organization)
Parent Organization
OLLAE MEDICAL LAB
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 28, 2007
Last Updated
Mar 14, 2011

Practice Location

Address
1809 HOME AVE
City
Berwyn
ZIP Code
60402-1669
Phone
(708) 692-5499

Authorized Official

Name
MRS. ONESIMO FLORES, OWNER
Title
MEDICAL LAB
Phone
(708) 692-5499

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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