Organization
CENTER FOR MOLECULAR CANCER DIAGNOSTICS, INC
Active
Other names
CoreBioLabs
Organization subpart
No
Provider details
NPI number
Authorized official
FONNIE MORRIS (MANAGING EMPLOYEE)
(312) 895-1776
Entity
Organization
Contact information
Practice address
2100 W ROOSEVELT RD STE B, BROADVIEW, IL 60155-3869
(330) 405-2623
Mailing address
2100 W ROOSEVELT RD STE B, BROADVIEW, IL 60155-3869
(330) 405-2623
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
05/20/2024
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