Organization
PHYSICIANS LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM NAVAS (PRESIDENT)
(312) 262-4600
Entity
Organization
Contact information
Practice address
1410 W FULTON ST, SUITE 204, CHICAGO, IL 60607-1110
(312) 262-4600
(312) 262-4531
Mailing address
1410 W FULTON ST, SUITE 204, CHICAGO, IL 60607-1110
(312) 262-4600
(312) 262-4531
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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