Organization
OLLAE MEDICAL LABORATORY
Active
Organization
OLLAE MEDICAL LABORATORY
Active
Parent organization
OLLAE MEDICAL LAB
Other names
OLLAE MEDICAL LABORATORY
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLLAE MEDICAL LAB
Authorized official
MRS. ONESIMO FLORES OWNER (MEDICAL LAB)
(708) 692-5499
Entity
Organization
Contact information
Practice address
1809 HOME AVE, BERWYN, IL 60402-1669
(708) 692-5499
Mailing address
1809 HOME AVE, BERWYN, IL 60402-1669
(708) 692-5499
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/28/2007
Last updated
03/14/2011
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