Organization
OAK CREST LABORATORY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL JOHN GAMBINO JR. (PRESIDENT)
(708) 567-1231
Entity
Organization
Contact information
Practice address
1452 MERCHANT DR UNIT B, ALGONQUIN, IL 60102-5917
(708) 634-6180
(708) 634-6181
Mailing address
1452 MERCHANT DR UNIT B, ALGONQUIN, IL 60102-5917
(708) 634-6180
(708) 634-6181
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D0418588
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205876554
ANTHEM BLUE CROSS PPO
IL
Enumeration date
06/07/2006
Last updated
03/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us