Organization
LABPRO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT LATINIK (PRESIDENT)
(630) 527-6100
Entity
Organization
Contact information
Practice address
7444 W WILSON AVE STE 103, HARWOOD HEIGHTS, IL 60706-4549
(630) 548-7887
(708) 831-4253
Mailing address
7444 W WILSON AVE STE 103, HARWOOD HEIGHTS, IL 60706-4549
(630) 548-7887
(708) 831-4253
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2015890
CLIA#
IL
01
—
14D2025730
CLIA#
IL
Enumeration date
12/20/2010
Last updated
09/17/2018
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