Organization
TFM SERVICES, LLC
Active
Other names
M Lab Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F MIENTUS (PRESIDENT)
(847) 302-8176
Entity
Organization
Contact information
Practice address
27885 IRMA LEE CIR STE 105, LAKE FOREST, IL 60045-5129
(847) 302-8176
Mailing address
1175 ANDERSON DR, GREEN OAKS, IL 60048
(847) 302-8176
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
336.075460
IL
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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