Organization
INTELLEGERE CLINICAL LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR PATEL (PRESIDENT)
(708) 655-5890
Entity
Organization
Contact information
Practice address
59 OGDEN AVE, CLARENDON HILLS, IL 60514-1026
(630) 581-5612
Mailing address
59 OGDEN AVE, CLARENDON HILLS, IL 60514-1026
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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