# MY COVID TEST EXPRESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669046306
- **Authorized official:** FRANCIS PENA (PROJECT MANAGER)
- **Authorized official phone:** (829) 341-2498

## Contact information

- **Practice address:** 1750 N CALIFORNIA AVE, CHICAGO, IL 60647-5104
- **Practice address phone:** (313) 308-0393
- **Mailing address:** 1448 N MILWAUKEE AVE STE 205, CHICAGO, IL 60622-9225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247000000X | Health Information Technician | — | NULL | — |
| 247000000X | Health Information Technician | — | — | — |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2021
- **Last updated:** 09/22/2021