Organization
HERITAGE LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS RAMIREZ (DIRECTOR)
(224) 735-6279
Entity
Organization
Contact information
Practice address
1249 E BURVILLE RD STE 1, CRETE, IL 60417-3601
(224) 735-6279
Mailing address
25716 S STONEY ISLAND AVE, CRETE, IL 60417-8020
(224) 735-6279
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
07/14/2021
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