Organization
UNITED DIAGNOSTIC LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN MIKEL ERDELYI (PRESIDENT)
(312) 890-4340
Entity
Organization
Contact information
Practice address
2515 GROSS POINT RD, EVANSTON, IL 60201-4928
(847) 530-4994
Mailing address
2521 GROSS POINT RD STE 1B, EVANSTON, IL 60201-4993
(312) 890-4340
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
09/29/2023
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