Organization
METROMED LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX SUMYK (SYSTEM MANAGER)
(773) 725-5454
Entity
Organization
Contact information
Practice address
5330 N ELSTON AVE, CHICAGO, IL 60630-1637
(773) 725-5454
Mailing address
5330 N ELSTON AVE, CHICAGO, IL 60630-1637
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050000002
BLUE CROSS BLUE SHIELD NO
IL
Enumeration date
04/09/2007
Last updated
07/21/2022
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