Organization
NZJNG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELAINE GLORIA LEBRON CLIA CERIFICATION (DIRECTOR)
(773) 885-6397
Entity
Organization
Contact information
Practice address
5821 W GRAND AVE, CHICAGO, IL 60639-2812
(773) 885-6397
Mailing address
4940 S HONORE ST APT 1, CHICAGO, IL 60609-4494
(773) 885-6397
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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