Organization
STARLAB DIAGNOSTICS INC
Active
Other names
STARLAB DIAGNOSTICS INC
Organization subpart
No
Provider details
NPI number
Authorized official
VERMILY PATELONA (ADMINISTRATOR)
(847) 802-2288
Entity
Organization
Contact information
Practice address
9213 PARKLANE AVE STE 101, FRANKLIN PARK, IL 60131-2837
(847) 802-2288
Mailing address
9213 PARKLANE AVE STE 101, FRANKLIN PARK, IL 60131-2837
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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