Organization
CML-CHICAGO MARKET LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A BAILEY (VICE PRESIDENT)
(615) 665-6000
Entity
Organization
Contact information
Practice address
3231 EUCLID AVE, BERWYN, IL 60402-3471
(708) 783-0737
(708) 783-0668
Mailing address
20 BURTON HILLS BLVD, ATTN: CAROL BAILEY, NASHVILLE, TN 37215-6197
(615) 665-6000
(615) 665-6184
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
D019131
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221539
ANTHEM
IN
05
—
200194990A
—
IN
01
—
21623281
BLUE CROSS
IL
01
—
690008950
RAILROAD
IL
Enumeration date
05/24/2005
Last updated
09/08/2016
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