Organization
BLOOD RUN EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY VIRAY (OWNER)
(630) 537-1433
Entity
Organization
Contact information
Practice address
581 BURLINGTON AVE APT 5, CLARENDON HILLS, IL 60514-1183
(630) 537-1433
Mailing address
581 BURLINGTON AVE APT 5, CLARENDON HILLS, IL 60514-1183
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2171613
CLIA
IL
Enumeration date
03/05/2020
Last updated
06/30/2020
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