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Contact Information

PHYSICIANS LABORATORY, LLC
1410 W FULTON ST
SUITE 204
CHICAGO, IL60607-1110
 Phone: 312-262-4600
 Fax: 312-262-4531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for PHYSICIANS LABORATORY, LLC

NPI Number 1265737787
LBN Legal business name PHYSICIANS LABORATORY, LLC
Authorized official WILLIAM NAVAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2011
Last updated 01/13/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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