DIAGNOSTIC MEDICAL LABORATORY, INC.; NPI #1376685016

Contact Information

DIAGNOSTIC MEDICAL LABORATORY, INC.

4554 N. BROADWAY STREET
SUITE 317
CHICAGO, IL 60640-5642

Phone: 773-255-4959
Fax: 773-506-0269
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Laboratory Management	246QL0900X

Indicates primary specialty

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NPI Profile & details for DIAGNOSTIC MEDICAL LABORATORY, INC.

NPI Number 1376685016

LBN Legal business name DIAGNOSTIC MEDICAL LABORATORY, INC.

Authorized official JOSEPH TENGBEH - (LABORATORY DIRECTOR AND OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/12/2007

Last updated 02/22/2012 - About 14 years ago

Identifiers

Medicaid

20388576001

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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DIAGNOSTIC MEDICAL LABORATORY, INC.

Contact Information

Specialty

Laboratory Management

NPI Profile & details for DIAGNOSTIC MEDICAL LABORATORY, INC.

Reviews for DIAGNOSTIC MEDICAL LABORATORY, INC.