Organization
GIST ENTITIES, LLC
Active
Other names
ARCpoint Labs of Orland Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBONIE GIST (OWNER)
(708) 963-1200
Entity
Organization
Contact information
Practice address
11006 W 179TH ST, ORLAND PARK, IL 60467-9440
(708) 963-1200
(708) 963-1204
Mailing address
11006 W 179TH ST, ORLAND PARK, IL 60467-9440
(708) 963-1200
(708) 963-1204
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
06/17/2020
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