Organization
HANSEN LAB SERVICE INC
Active
Organization
HANSEN LAB SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W HANSEN (PRESIDENT)
(630) 750-7378
Entity
Organization
Contact information
Practice address
541 SPRUCE RD, BOLINGBROOK, IL 60440-2504
(630) 750-7378
Mailing address
541 SPRUCE RD, BOLINGBROOK, IL 60440-2504
(630) 750-7378
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D2099042
IL
Other
Enumeration date
01/27/2014
Last updated
09/24/2015
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