Organization
DIAGNOSTIC CYTOLOGY LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A BUCHER (VP OF FINANCE)
(317) 874-1297
Entity
Organization
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3270
(317) 874-1440
Mailing address
1520 MOMENTUM PL, CHICAGO, IL 60689-5315
(317) 874-1276
(317) 874-1440
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237800
—
IN
Enumeration date
12/21/2006
Last updated
05/05/2008
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