Organization
CROWN COVID TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS RUBIO CUERVO (PRESIDENT)
(773) 814-2001
Entity
Organization
Contact information
Practice address
3935 S CALIFORNIA AVE, CHICAGO, IL 60632-1835
(773) 814-2001
Mailing address
3935 S CALIFORNIA AVE, CHICAGO, IL 60632-1835
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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