Organization
TZAM DIAGNOSTICS LLC
Active
Other names
TZAM Clinical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
HONGJUN ZHANG (VICE PRESIDENT)
(847) 256-3238
Entity
Organization
Contact information
Practice address
1880 HOLSTE RD, NORTHBROOK, IL 60062-7716
(847) 256-3238
(847) 256-3239
Mailing address
1880 HOLSTE RD, NORTHBROOK, IL 60062-7716
(847) 256-3238
(847) 256-3239
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D1039167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01629156
BCBS PROVIDER #
IL
01
—
IL1662
MEDICARE PTAN
IL
Enumeration date
11/03/2008
Last updated
12/12/2014
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