Organization
STARLING MOBILE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD STARLING (ADMINISTRATOR)
(773) 374-7411
Entity
Organization
Contact information
Practice address
8030 S WOODLAWN AVE, CHICAGO, IL 60619-4508
(773) 374-7411
Mailing address
8030 SOUTH WOODLAWN AVE, CHICAGO, IL 60619
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL3000
MEDICARE PTAN
IL
Enumeration date
11/09/2009
Last updated
09/18/2013
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