Organization
ESSENTIAL TESTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE OJEDA (CEO)
(618) 623-0623
Entity
Organization
Contact information
Practice address
1616 EASTPORT PLAZA DR, COLLINSVILLE, IL 62234-6128
(618) 623-0623
Mailing address
1616 EASTPORT PLAZA DR, COLLINSVILLE, IL 62234-6128
(618) 623-0623
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
10/20/2011
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