Organization
KC MED LABRATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANISHA COX (OWNER)
(708) 574-7727
Entity
Organization
Contact information
Practice address
7518 S RIDGELAND AVE, CHICAGO, IL 60649-3907
(708) 574-7727
Mailing address
7518 S RIDGELAND AVE, CHICAGO, IL 60649-3907
(708) 574-7727
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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