Organization
ADEONA CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NARAYAN S TORKE (PRESIDENT)
(630) 378-2100
Entity
Organization
Contact information
Practice address
391 QUADRANGLE DR, SUITE N8, BOLINGBROOK, IL 60440-3442
(630) 378-2100
(630) 378-2990
Mailing address
391 QUADRANGLE DR, SUITE N9, BOLINGBROOK, IL 60440-3442
(630) 378-2100
(630) 378-2990
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
D1587714
IL
Other
Enumeration date
04/18/2007
Last updated
12/15/2010
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