Glen Ridge Imaging Ltd
NPI #1538254651 in Mokena, Illinois
Provider Information
- NPI Number
- 1538254651
- Entity Type
- Organization
- Organization Name
- Glen Ridge Imaging Ltd
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- GLEN JOHN NISIVOCCIA, D C
- Title
- PRESIDENT
- Phone
- (708) 478-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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