Organization
CENTEGRA CLINICAL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TOMLINSON (CIO & CFO)
(815) 788-5831
Entity
Organization
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4800
(815) 759-4565
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
03/21/2014
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