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Organization

GIST ENTITIES, LLC

Active
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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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