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Organization
PARK RIDGE LAB INC
Active
Organization
PARK RIDGE LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM SPERON MD (PRESIDENT)
(847) 696-9900
Entity
Organization
Contact information
Practice address
950 N NORTHWEST HWY STE 102, PARK RIDGE, IL 60068-2349
(847) 696-9900
(630) 952-1447
Mailing address
950 N NORTHWEST HWY STE 102, PARK RIDGE, IL 60068-2349
(847) 696-9900
(630) 952-1447
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
—
NULL
207ZH0000X
Hematology (Pathology) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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