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Organization
GOTHAM LAB SERVICES LLC
Active
Organization
GOTHAM LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON LOUIS TAYLOR I COUNSELOR (OWNER)
(312) 550-2573
Entity
Organization
Contact information
Practice address
4018 CHARLESTON RD APT 2N, MATTESON, IL 60443-2674
(312) 550-2573
(888) 253-2417
Mailing address
4018 CHARLESTON RD APT 2N, MATTESON, IL 60443-2674
(312) 550-2573
(888) 253-2417
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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