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Organization
LABORATORY PHYSICIANS, LLC
Active
Organization
LABORATORY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE BARTUSEK M.D. (PRESIDENT)
(877) 852-4669
Entity
Organization
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-9552
Mailing address
PO BOX 10200, PEORIA, IL 61612-0200
(877) 852-4669
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036089395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232259
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/24/2006
Last updated
06/01/2011
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