Organization
WEST SUBURBAN LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANDREA ANA DJAKOVAC (PRESIDENT)
(630) 418-7347
Entity
Organization
Contact information
Practice address
715 SAINT CHARLES RD, GLEN ELLYN, IL 60137-3621
(630) 418-7347
Mailing address
715 SAINT CHARLES RD, GLEN ELLYN, IL 60137-3621
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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