Organization
ADEONA CLINICAL LABORATORY LLC
Active
Parent organization
ADEONA PHARMACEUTICALS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADEONA PHARMACEUTICALS, INC
Authorized official
DR. NARAYAN TORKE (DIRECTOR)
(630) 378-2100
Entity
Organization
Contact information
Practice address
391 QUADRANGLE DR, SUITE N9, BOLINGBROOK, IL 60440-3442
(630) 378-2100
(630) 378-2990
Mailing address
391 QUADRANGLE DR, SUITE N9, BOLINGBROOK, IL 60440-3442
(630) 378-2100
(630) 378-2990
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D1051026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001
—
IL
Enumeration date
05/13/2006
Last updated
12/15/2010
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