Individual
MITCHELL LAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 W CAMPBELL PARK DR, CHICAGO, IL 60612-3502
(312) 243-0600
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
Taxonomy
Speciality
Code
Description
License number
State
246QL0901X
Diplomate Laboratory Management Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D0897314
CLIA
—
Enumeration date
07/09/2014
Last updated
07/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us