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Organization

YOUR DIAGNOSTIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS M. AITKEN (ADMINISTRATOR)
(815) 723-9351
Entity
Organization

Contact information

Practice address
10811 W 143RD ST, SUITE 130, ORLAND PARK, IL 60467-1913
(708) 226-1400
Mailing address
10811 W 143RD ST, SUITE 130, ORLAND PARK, IL 60467-1913
(708) 226-1400

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
IL

Other

Enumeration date
10/25/2006
Last updated
07/21/2022
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