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Organization
ELITE PATHOLOGY LAB INC
Active
Organization
ELITE PATHOLOGY LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHUA MD (PRESIDENT)
(630) 889-9889
Entity
Organization
Contact information
Practice address
3744 W NORTH AVE, CHICAGO, IL 60647-4727
(630) 889-9889
Mailing address
PO BOX 3363, OAK BROOK, IL 60522-3363
(630) 889-9889
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
—
NULL
207ZC0006X
Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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