Organization
ITXM CLINICAL SERVICES
Active
Organization
ITXM CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR BELOV (MANAGER)
(847) 834-1805
Entity
Organization
Contact information
Practice address
1205 MILWAUKEE AVE, GLENVIEW, IL 60025-2425
(847) 834-1805
Mailing address
2658 GRIFFITH PARK BLVD, STE 125, LOS ANGELES, CA 90039-2520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D0966824
IL
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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