Westchester Diagnostic Laboratory

NPI #1750563219 in Westchester, Illinois

Provider Information

NPI Number
1750563219
Entity Type
Organization
Organization Name
Westchester Diagnostic Laboratory
Primary Specialty
Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date
Nov 27, 2007
Last Updated
Apr 20, 2008

Practice Location

Address
2225 ENTERPRISE DR
Address 2
SUITE 2511
ZIP Code
60154-5814
Phone
(708) 486-0076

Authorized Official

Name
GEORGE G MORAN, MD
Title
PRESIDENT
Phone
(708) 492-0502

Specialties & Taxonomy Codes

Specialty
Pathology - Anatomic Pathology & Clinical PathologyAnatomic Pathology & Clinical Pathology

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