Organization
PRECISION PHLEBOTOMY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE BOCANEGRA 14D2190321 (OWNER)
(630) 809-9041
Entity
Organization
Contact information
Practice address
9241 S ROBERTS RD, HICKORY HILLS, IL 60457-3809
(630) 809-9041
Mailing address
9241 S ROBERTS RD, HICKORY HILLS, IL 60457-3809
(630) 809-9041
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2190321
CLIA CERT
IL
Enumeration date
08/15/2020
Last updated
08/15/2020
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