Liberty Mobile Labs INC
NPI #1568949758 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1568949758
- Entity Type
- Organization
- Organization Name
- Liberty Mobile Labs INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 20, 2018
- Last Updated
- Nov 23, 2019
Practice Location
- Address
- 541 SPRUCE RD
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2504
- Phone
- (630) 880-9454
Authorized Official
- Name
- MR. DONALD JOSEPH HANSEN, AMCA-PCT 4709
- Title
- OWNER
- Phone
- (630) 880-9517
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Clinical Medical Laboratory |
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